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目的 :探讨扁桃体恶性淋巴瘤的临床特点、诊断及治疗。方法 :回顾分析 1995年元月至 2 0 0 2年 12月收治的 2 1例扁桃体恶性淋巴瘤的临床资料。结果 :扁桃体恶性淋巴瘤占同期恶性淋巴瘤的 5 .4% ,占同期结外淋巴瘤的 10 .3 % ,61.9%的患者表现为咽痛 ,5 2 .4%的患者表现为咽部异物感 ,2 1例患者均为非霍奇金淋巴瘤 ,78.6%的患者为B细胞淋巴瘤 ,7例接受规则放化疗的患者 6例生存期均已超过 3年。结论 :扁桃体恶性淋巴瘤是比较常见的结外淋巴瘤 ,临床表现缺乏特异性 ,误诊率高 ,扁桃体恶性淋巴瘤主要为非霍奇金淋巴瘤 ,多数来源于B细胞 ,患者对放化疗敏感
Objective: To investigate the clinical features, diagnosis and treatment of tonsil malignant lymphoma. Methods: The clinical data of 21 patients with tonsil malignant lymphoma who were admitted from January 1995 to December 2002 were retrospectively analyzed. Results: Tonsillar malignant lymphoma accounted for 5.4% of the same-stage malignant lymphoma, accounting for 10.3% of the same-stage extranodal lymphoma, 61.9% of the patients showed sore throat, and 52.4% of the patients showed pharyngeal foreign bodies All 21 patients had non-Hodgkin’s lymphoma, 78.6% had B-cell lymphoma, and 6 of the 7 patients receiving regular chemoradiotherapy had survival for more than 3 years. CONCLUSION: Tonsillar lymphoma is a common extranodal lymphoma. The clinical manifestations are not specific and have a high misdiagnosis rate. Tonsillar malignant lymphoma is mainly non-Hodgkin’s lymphoma, mostly derived from B cells. Patients are sensitive to chemoradiotherapy