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涎腺淋巴瘤罕见,1954年 Foote 等在2626例涎腺肿瘤病仅见1例。作者回顾1987年以前英文文献,共查见涎腺淋巴瘤324例,其中按下列诊断标准可确认为原发性者仅6例。诊断标准:(一)Hyman 和 Wolff 标准:①涎腺受累为疾病首发症状;②组织学证实淋巴瘤累及涎腺实质;③组织学结构和细胞学检查证实淋巴样浸润具恶性特征。(二)临床检查:①全面体格检查,包括耳鼻咽喉部位;②实验室检查:全血细胞计数:血小板计数、肝肾功能检查、血清钙测定;⑧胸部 X 线检查;④双侧足淋巴管造影术和/或腹部 CT 扫描;⑤双侧髂嵴骨髓穿刺活检。临床捡查结果均为阴性始能排除身体其他部位淋巴瘤转移涎腺。作者1935~
Parotid lymphoma is rare. In 1954, Foote et al. saw only 1 case of parotid gland tumor in 2626 cases. The author recalls 1987 pre-English literature, a total of 324 cases of parotid lymphoma were investigated, of which only 6 cases were confirmed as primary according to the following diagnostic criteria. Diagnostic criteria: (a) Hyman and Wolff criteria: 1 Parotid gland involvement as the first symptom of the disease; 2 histologically confirmed lymphoma involving the parenchyma parenchyma; 3 histological structure and cytology confirmed lymphoid infiltration with malignant features. (B) clinical examination: 1 comprehensive physical examination, including the otolaryngology; 2 laboratory tests: complete blood count: platelet count, liver and kidney function tests, serum calcium determination; 8 chest X-ray examination; 4 bilateral fulcrum lymphography Surgical and/or abdominal CT scans; 5 Bilateral orbital bone marrow biopsy. The negative results of clinical examinations can exclude lymph nodes metastasis of salivary glands in other parts of the body. Author 1935~