原发性甲状腺淋巴瘤诊治分析  

Diagnosis and therapy of primary thyroid lymphoma

作　　者：孙圣荣[1] 姚峰[1] 童鹤翔[1] 严际慎[1] 

机构地区：[1]武汉大学人民医院普外科,430060

出　　处：《临床外科杂志》2004年第10期603-604,共2页Journal of Clinical Surgery

摘　　要：目的　提高原发性甲状腺淋巴瘤的诊断、治疗及预后水平。方法　回顾性分析 1980～ 2 0 0 3年本院收治的 11例原发性甲状腺淋巴瘤 ,分析其临床表现、病理分型、诊断、治疗方案及预后。结果　滤泡性淋巴瘤 7例 ,淋巴浆细胞性淋巴瘤 2例 ,弥漫性大B细胞淋巴瘤 2例。原发性甲状腺淋巴瘤复发及死亡率 ,综合治疗者明显低于单纯手术及手术加放疗者 ,滤泡性淋巴瘤低于淋巴浆细胞性淋巴瘤和弥漫性大B细胞淋巴瘤。结论　原发性甲状腺淋巴瘤的预后与病理类型、治疗方案密切相关 ,综合治疗效果最佳。Objective To analyze the diagnosis,treatment and prognosis of primary thyroid lymphoma (PTL).Methods Eleven cases of thyroid lymphoma,registered from 1980 to 2003,were reviewed.Results There were 7 cases of follicular lymphoma,2 cases of lympho-plasmacytic lymphoma and 2 cases of diffuse large B-cell lymphoma.Relapse and mortality of PTL treated with combined-modality approach was lower than single operation and operation plus radiotherapy.Relapse and mortality of follicular lymphoma was lower than lympho-plasmacytic lymphoma and diffuse large B-cell lymphoma.Conclusion The prognostic factors of PTL are associated with pathologic type and treatment approach.The combined-modality treatment is the best one. [

关 键 词：甲状腺淋巴瘤 原发性 诊断 治疗 

分 类 号：R736.1[医药卫生—肿瘤]