睾丸原发性恶性淋巴瘤病理分析  

Pathological analysis of primary lymphoma of the testis

作　　者：廖秋林[1] 李莲花[1] 周本成[1] 陈敬文[1] 

机构地区：[1]广州军区广州总医院病理科,广州510010

出　　处：《临床与实验病理学杂志》2005年第3期321-323,共3页Chinese Journal of Clinical and Experimental Pathology

摘　　要：目的探讨睾丸原发性恶性淋巴瘤的临床表现、形态学特征和免疫表型。方法对12例睾丸原发性恶性淋巴瘤行光镜和免疫组化EnVision法病理学观察。结果患者平均年龄61岁,主要临床表现为睾丸无痛性进行性肿大,经免疫组化证实均为弥漫性非霍奇金恶性淋巴瘤,10例为B细胞性,2例为T细胞性。结论中老年人出现睾丸弥漫性肿大,首先要想到睾丸原发性恶性淋巴瘤的可能性,及时正确的病理诊断对于指导临床治疗和判断预后有非常重要的作用。本病的确诊依赖病理学诊断,而免疫组化染色对于鉴别诊断尤为重要。Purpose To investigate primary lymphoma of the testis and analyze their immunophenotypes and morphological features. Methods Twelve cases of primary testicular lymphomas was investigated microscopically immunohistochemically. Results The average ages of the patients was 61 years old. The main symptom was swollen testis without other specific finding. All cases were diffuse non-Hodgkin’s lymphomas,The results of immunohistochemistry showed that the lymphoma cells in 10 cases were derived from B-lymphocyte and in 2 cases from T-lymphocyte. Conclusions When a diffuse mass of a testis occurs in a middle or old age male,the possibility of lymphoma should be considered at first. The definite diagnosis of the disease depends on the pathological examination. Immunohistochemistry plays an important role in differential diagnosis.

关 键 词：睾丸原发性恶性淋巴瘤 病理分析 非霍奇金恶性淋巴瘤 Vision 主要临床表现 免疫组化染色 形态学特征 病理学观察 病理学诊断 免疫表型 平均年龄 B细胞性 T细胞性 中老年人 判断预后 临床治疗 病理诊断 鉴别诊断 弥漫性 

分 类 号：R737.21[医药卫生—肿瘤] R733.1[医药卫生—临床医学]