甲状腺黏膜相关淋巴组织淋巴瘤2例报告并文献复习  

Mucosa Associated Lymphoid Tissue Lymphoma of Thyroid Gland:Report of Two Cases and Review of Literature

作　　者：陈德育 杨国栋 曾普元 徐勇士 

机构地区：[1]解放军第一六九中心医院一外科,湖南衡阳421002

出　　处：《中国误诊学杂志》2008年第7期1526-1528,共3页Chinese Journal of Misdiagnostics

摘　　要：目的:探讨甲状腺黏膜相关淋巴组织淋巴瘤(Mucosa-associated Lymphoid Tissue Lymphoma,MALT-L)的发病机制、临床特点、诊断和治疗。方法:报道2例甲状腺MALT-L并复习相关文献。结果:甲状腺MALT-L多由桥本氏甲状腺炎进展而来的,临床罕见,常表现为无特异性的甲状腺单侧或双侧肿块,易被误诊,确诊需经术后病理加免疫组化检查,治疗主要是手术结合放/化疗。结论:为减少对此病的误诊,应加强对甲状腺MATL-L的认识,并做好术前细胞穿刺学检查(FNA)及术中冰冻病检。Objective：To explore the pathogenesis, clinical features, diagnosis and therapy of Mucosa-associated Lymphoid Tissue Lymphoma （MALT-L） of Thyroid gland. Methods：Two patients with MALT-L of Thyroid gland treated in our hospital since 2001 were reported. The corresponding literature was reviewed. Results：MALT-L ,presenting as untypical tumor in unilateral or bilateral Thyroid gland, was a rare neoplasm and generally developed from Hashimotos thyroiditis. The final diagnosis relied mainly on histopathological and immunohistochemical findings after operation. Therapy should include operation as well as radiotherapy and chemotherapy. Conclusions ：MALT-L should be noticed in the diagnosis of thyroid diseases. FNA before operation and frozen biopsy during operation may reduce the incidence of misdiagnosis.

关 键 词：甲状腺肿瘤/病理学/诊断/治疗 淋巴瘤 粘膜相关淋巴样组织/病理学/诊断/治疗 病例报告[文献类型] 人类 

分 类 号：R733.41[医药卫生—肿瘤]