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盆腔淋巴瘤极少见,因此可造成延误诊断和错误处理.如对该病高度警惕,可得到正确治疗避免不必要的手术且预后较好.病例1: 64岁白人妇女,主诉绝经后出血,盆腔检查有一如孕16周大小,不规则固定的盆腔肿块.左肾无功能,直肠乙状结肠有外在性压迫,但无转移瘤.分段诊刮未见肿瘤.剖腹探查呈冰冻骨盆,仅做了多点活检.病检为脂肪坏死,巨细胞反应和恶性淋巴瘤浸润.病人行5,000rad盆腔外照射治疗,随后阴道放Fletcher管,A点剂量为3,000rad,以后发现肿瘤和宫旁浸润消退.首次治疗后
Pelvic lymphomas are extremely rare and can therefore cause delays in diagnosis and error handling, such as alerting to the disease, proper treatment to avoid unnecessary surgery and a better prognosis Case 1: A 64-year-old white woman who complains of postmenopausal bleeding, Pelvic examination as pregnant 16 weeks size irregularly fixed pelvic mass.Left kidney without function, rectosigmoid with external oppression, but no metastases.Segment curettage no tumor.Lay laparotomy was frozen pelvis, only to do A multi-point biopsy was performed, and the disease was examined as fat necrosis, giant cell reaction and malignant lymphoma infiltration. The patient underwent 5,000rad external pelvic irradiation followed by vaginal discharge of Fletcher tube at a dose of 3,000rad and later found tumor and paracancerous infiltration subsided After the first treatment