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原发性骨淋巴瘤(PLB)是恶性淋巴瘤的一种结外类型,临床较少见。1988年,我们收治2例,现报告如下。病历摘要例1。男,34岁,因右大腿肿块11月入院。1988年1月发现右大腿上部肿胀,渐渐增大并疼痛,偶发热,体重下降10kg。体检:右大腿上段巨大肿块,约35×35cm,质软,轻压痛。X线片示右股骨颈至股骨干中段骨皮质糜烂不整,见轻度花边状骨膜增生,局部见软组织块影。B超示肝、脾、腹主动脉旁、髂血管周围未见占位性病变;骨髓片正常。右股骨病灶活检为PLB(组织细胞型)。用M-BACOP方案化疗一周期,获微效,出院后服中药,现存活。
Primary lymphoma of the bone (PLB) is an extranodal type of malignant lymphoma and is rare in clinical practice. In 1988, we treated 2 cases and the report is as follows. Case summary 1. Male, 34 years old, was admitted to the hospital due to a right thigh mass in November. In January 1988, the upper right thigh was found to be swollen, gradually enlarged and painful, with occasional fever and a weight loss of 10 kg. Physical examination: huge mass in the upper thigh, about 35 × 35cm, soft, light tenderness. The X-ray showed that the cortical bone of the right femoral neck to the middle of the femoral shaft was not completely eroded. See the mild lamellar periosteal hyperplasia and see the soft tissue block shadow locally. B ultrasound showed no space-occupying lesions around the liver, spleen, abdominal aorta, and iliac vessels; normal bone marrow slices. Right femoral lesion biopsy was PLB (tissue cell type). One cycle of chemotherapy with M-BACOP regimen was slightly effective. After discharge, the patient was taken Chinese medicine and survived.