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目的 对49例扁桃体恶性淋巴瘤的临床特点进行分析。方法 本文对我院1990～1999年收治的原发于扁桃体的恶性淋巴瘤病人其临床特点:年龄,病理,临床分期,治疗进行分析。结果 本组扁桃体恶生淋巴瘤以中老年患者居多,病理均为非何杰金氏淋巴瘤。其中T细胞型28例、B细胞型21例,以中高度恶性居多。Ⅰ期用CHOP+放疗+干扰素的23例病人完全缓解(CR)。Ⅰ期单用化疗的7例病人均短期复发;Ⅱ、Ⅲ、Ⅳ期19例病人仅用CHOP方案化疗的疗效差,均于短期内死亡。结论 原发于扁桃体的恶性淋巴瘤,早期发现、早期综合治疗是提高治愈率的途径之一。
Objective To analyze the clinical features of 49 cases of tonsil malignant lymphoma. Methods In this paper, our hospital from 1990 to 1999 admitted to the primary tonsil lymphoma patients with its clinical features: age, pathology, clinical stage, treatment analysis. Results The majority of patients with malignant lymphoma in this group of elderly patients, non-Hodgkin’s lymphoma. T cell type in which 28 cases, 21 cases of B cell type, with a high degree of malignancy. Twenty-three patients with CHOP + radiotherapy + interferon were completely relieved (CR). Seven patients with stage Ⅰ chemotherapy had short-term recurrence. Nineteen patients in stage Ⅱ, Ⅲ and Ⅳ were treated with CHOP chemotherapy alone and all were short-term. Conclusion Primary malignant lymphoma of tonsils, early detection and early comprehensive treatment is one of the ways to improve the cure rate.