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恶性淋巴瘤是原发于淋巴系统的恶性肿瘤,占恶性肿瘤的1.85％,但是由于临床表现复杂,极易发生误诊。近15年内我们遇到的误诊24例,现总结如下。 1 病例资料 24例中男16例,女8例。年龄最小19岁,最大75岁,多数在50岁左右。误诊时间:最短1月,最长1年,多数在2月。误诊者:多数是低年资和他科医生,只有1例是高年资医生。全部病例均经病检而确诊。 2 误诊疾病 2.1 误诊急腹症5例:以突发腹痛、腹胀、包块、便血等症状出现,结果误诊为肠梗阻、肠套叠、胆囊炎、肠肿瘤等,由手术病检确诊为盲肠和肠系膜淋巴瘤。
Malignant lymphoma is a malignant tumor that originates in the lymphatic system and accounts for 1.85% of malignant tumors. However, due to complicated clinical manifestations, misdiagnosis can easily occur. In the past 15 years, we have misdiagnosed 24 cases and are summarized as follows. 1 Case data 24 cases of 16 males and 8 females. The youngest is 19 years old, the oldest is 75 years old, and the majority is about 50 years old. Misdiagnosis time: the shortest in January, the longest 1 year, the majority in February. Misdiagnosis: Most of them are juniors and doctors, and only one is a senior doctor. All cases were diagnosed by medical examination. 2 misdiagnosed diseases 2.1 misdiagnosed acute abdomen in 5 cases: sudden abdominal pain, bloating, mass, blood in the stool and other symptoms, the result was misdiagnosed as intestinal obstruction, intussusception, cholecystitis, intestinal tumors, etc., by the surgical examination confirmed as the cecum And mesenteric lymphoma.