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目的对头颈部恶性淋巴瘤的临床症状进行分析,探讨其临床特征,并对其治疗手段进行研究。方法采用回顾性的方法,对近年来于本院进行医治55例头颈部恶性淋巴瘤患者的临床资料进行分析。结果该组病例中,共误诊患者22例,误诊率40%。治疗后,跟踪对患者调查。半年内死亡10例,一年内死亡32例,一年以上存活25例,一年以上存活率45%。结论头颈部恶性淋巴瘤是一种相当危险诊治难度极高的恶性肿瘤,因其临床表现复杂且无特异性,且发病部位多样,以颈部为最多,发病部位不同临床表现也不尽相同。由于对此症误诊率极高,现临床仅能依靠活体组织检查将其确诊,故更应积极加强对于此病患者临床诊断及随访治疗工作,降低误诊率,进一步改善其预后质量。
Objective To analyze the clinical symptoms of head and neck malignant lymphoma, discuss its clinical features, and study its treatment. Methods The retrospective method was used to analyze the clinical data of 55 cases of head and neck malignant lymphoma treated in our hospital in recent years. Results In this group, 22 cases were misdiagnosed, with a misdiagnosis rate of 40%. After treatment, follow up the patient survey. 10 cases died within six months, 32 cases died within a year, more than one year in 25 cases, more than one year survival rate of 45%. Conclusion Head and neck malignant lymphoma is a very dangerous and extremely difficult diagnosis and treatment of malignant tumors, because of its clinical manifestations of complex and non-specific, and the incidence of various parts of the neck to the maximum, different parts of the clinical manifestations are not the same . Because of the high rate of misdiagnosis of this disease, clinics can only rely on biopsy to confirm it, so should be more active in clinical diagnosis and follow-up treatment of patients with this disease, reduce the misdiagnosis rate and further improve the quality of its prognosis.