儿童淋巴瘤以非霍奇金淋巴瘤(NHL)多见,且侵犯淋巴结外组织的倾向性大。因病变部位和范围不同,临床表现很不一致,误诊率很高。本文1例以淋巴结外为首发表现,不易早期诊断,故报道如下。患儿男,14岁。因发热、水肿、恶心、厌食1个月,病初按肾炎治疗,病情无好转,入院前1周胸闷,腹 Childhood lymphoma with non-Hodgkin’s lymphoma (NHL) more common, and violations of lymph node tissue outside the tendency of large. Due to the different parts and extent of the lesion, the clinical manifestations are very inconsistent and the rate of misdiagnosis is very high. This article 1 cases of lymph nodes as the first performance, not easy to early diagnosis, it is reported as follows. Children male, 14 years old. Due to fever, edema, nausea, anorexia 1 month, early treatment of nephritis by the disease, the condition did not improve, 1 week before admission, chest tightness, abdomen