儿童恶性淋巴瘤误诊21例分析  

Misdiagnosis of malignant lymphoma in 21 children

作　　者：纪丽莉[1] 由世松[1] 张迎进[1] 

机构地区：[1]莱州市人民医院小儿科,261400

出　　处：《滨州医学院学报》2008年第1期38-39,共2页Journal of Binzhou Medical University

摘　　要：目的分析恶性淋巴瘤误诊的病例,提高小儿恶性淋巴瘤的诊断水平。方法对我院2000—2005年间住院治疗的160例恶性淋巴瘤病人进行回顾性分析。结果21例儿童恶性淋巴瘤被误诊,分别被误诊为结核病6例,白血病4例,慢性扁桃体炎2例,淋巴结炎3例,肠套叠、脊髓炎、睾丸炎、慢性鼻炎、组织细胞增生症、皮肤过敏症各1例,误诊率高达13.3%。结论恶性淋巴瘤易发生临床误诊,重视病变部位的活检,进行常规病理检查同时进行免疫组织化学检查是减少恶性淋巴瘤误诊的重要措施。Objective The misdiagnosis of the childhood lymphoma was analyzed to improve diagnosis level of lymphoma. Methods One hundred and sixty cases of diagnosed malignant lymphoma form 2000 to 2005 were retrospectively analyzed. Results 21 malignant lymphoma cases were misdiagnosed, misdiagnosis rate was 13. 3 percent. They were misdiagnosed as tuberculosis （6 cases ） , leukemia （ 4 cases ） , chronic tonsillitis （ 2 cases ） , lymphadenitis （ 3 cases ） and intussusception, myelitis, didymitis, chronic rhinitis, histocytosis, skin allergy. Conclusion Misdiagnosis of the childhood lymphoma is hackneyed, thinking highly of diseased region biopsy, conventional pathology and immunohistochemistry is important for decreasing misdiagnosis of the childhood lymphoma.

关 键 词：恶性淋巴瘤 儿童 诊断 

分 类 号：R733.4[医药卫生—肿瘤]