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总结 2例经病理证实附睾恶性淋巴瘤的临床资料 ,复习国内外有关文献 ,就该病的病理特征、临床表现、诊断及治疗进行讨论。 2例病人均行根治性睾丸切除术 ,病理证实为附睾粘膜相关性淋巴瘤 (B细胞型 ) ,术后化疗和 或放疗。 1例术后存活 3年 ,死于其它疾病 ,另 1例经化疗后 ,临床症状缓解 ,左侧附睾肿块消失 ,目前健在。单独累及附睾的恶性淋巴瘤极其罕见 ,早期容易误诊 ,一般的病理切片检查不能得出准确结论 ,需做免疫组化分析 ,一旦确诊 ,应早期手术加全身化疗和 或放疗。
The clinical data of 2 cases of malignant lymphoma of epididymis confirmed by pathology were reviewed. Relevant literatures at home and abroad were reviewed and the pathological features, clinical manifestation, diagnosis and treatment of the disease were discussed. Two patients underwent radical orchiectomy, pathologically confirmed epididymal mucosa-associated lymphoma (B cell type), postoperative chemotherapy and or radiotherapy. One patient survived 3 years after operation and died of other diseases. After another patient underwent chemotherapy, the clinical symptoms were relieved and the left epididymal mass disappeared. Malignant lymphomas involving the epididymis alone are extremely rare and easily misdiagnosed at an early stage. General biopsy can not produce accurate conclusions. Immunohistochemical analysis is required. Once diagnosed, systemic surgery and radiotherapy should be performed early.