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作者报告3例原发性淋巴细胞瘤,2例为肺淋巴细胞瘤,1例为支气管淋巴细胞瘤。临床上主要症状是咳嗽和胸痛,而呼吸困难,咯痰和咯血则极少见。例2是在常规胸部X线检查时发现的,例1因急性流感症状,作胸部X线检查而发现。例3有进行性呼吸困难,患者本人亦可听到哮鸣声。例1的X线表现为卵圆形的均匀阴影,密度深,境界不很整齐,在切层片提示伴有肺不张。例2为浸润性病变,位于上叶前段,其上界尚清晰,下界和水平裂相连。例3在胸片和切层片上见一密度均匀增深梨状阴影,边缘模糊,位于右心缘旁。沿着右肺下叶支气管—血管轴而发展。本组3例在确诊后3～9年均健在。例1于右肺下叶切除后,病情稳定2年,以后复发,两肺见结节和浸润阴影,经苯丁酸氮芥治疗后恢复。例2病灶已存在很久,但很小。未经任何治疗,4年中病灶体积
The authors report 3 cases of primary lymphoma, 2 cases of lung lymphoma, and 1 case of bronchial lymphoma. The main clinical symptoms are cough and chest pain, while breathing difficulties, expectoration and hemoptysis are rare. Example 2 was found during routine chest X-ray examinations. Case 1 was found by chest X-ray examination for acute flu symptoms. Case 3 had progressive dyspnea and the patient himself could hear whistling. The X-rays of Example 1 showed a uniform oval shape with a darker, denser border, suggesting atelectasis in the slice. Case 2 is an infiltrating lesion located in the anterior segment of the upper lobe. The upper border is still clear and the lower border is connected to the horizontal fissure. In Example 3, a uniform darkening of the pear-like shadow was observed on the chest and the slice. The edge was blurred and was located beside the right heart margin. It develops along the bronchus-vascular axis of the lower lobe of the right lung. 3 patients in this group were alive 3 to 9 years after diagnosis. Example 1 After resection of the right lower lobe, the disease was stable for 2 years and later recurred. Nodules and infiltrates were seen in both lungs and recovered after treatment with chlorambucil. Case 2 lesions have existed for a long time, but they are small. Without any treatment, lesion volume in 4 years