论文部分内容阅读
目的 对结外淋巴瘤的误诊原因分析并提出相应的防止对策。方法 自 1980年 1月至 2 0 0 0年 7月 ,对收治非霍奇氏淋巴瘤 85例患者进行回顾性分析。结果 85例非霍奇氏淋巴瘤中结外淋巴瘤 5 0例 ( 5 8.5 %) ,误诊 30例 ,误诊率高达 6 0 %。 30例中发生于消化道者最多 ,共 11例 ( 36 .6 %) ,其次为鼻及咽部组织 ,共 7例 ( 2 3.3%) ,其它部位少见共12例 ( 4 0 %)。结论 结外淋巴瘤误诊发生于消化道、鼻及咽部组织为多。但可发生于任何器官组织 ,其临床表现无特征性 ,诊断困难 ,易发生误诊。临床医师必须具有多学科横向知识 ,加强对结外淋巴瘤的认识 ,并尽快进行病理学检查。
Objective To analyze the causes of misdiagnosis of extranodal lymphoma and propose corresponding countermeasures. Methods From January 1980 to July 2000, 85 patients with non-Hodgkin’s lymphoma were retrospectively analyzed. Results Out of 85 cases of non-Hodgkin’s lymphoma, 50 (59.5%) had extranodal lymphoma and 30 had misdiagnosis (misdiagnosis rate was 60%). Among the 30 cases, the most occurred in the digestive tract, 11 cases (36.6%), followed by nasal and pharyngeal tissues, a total of 7 cases (23.3%), other parts rare in 12 cases (40%). Conclusions Misdiagnosis of extranodal lymphoma occurs in the digestive tract, nasal and pharyngeal tissues. But can occur in any organ tissue, the clinical manifestations of non-characteristic, difficult to diagnose, prone to misdiagnosis. Clinicians must have multidisciplinary lateral knowledge to enhance awareness of extranodal lymphoma and pathological examination as soon as possible.