44例淋巴瘤尸检病例肝脏播散的病理特点  

The Pathological Feature of Liver Dissemination of Lymphoma in 44 Autopsy Cases

作　　者：冯嗣青[1] 黄文臣[2] 刘丽梅[2] 刘彦琴[2] 周凡[2] 张雪梅[2] 

机构地区：[1]南昌大学第一附属医院血液科,江西南昌330006 [2]沈阳军区总医院,辽宁沈阳110016

出　　处：《中国实用内科杂志》2007年第S2期72-73,共2页Chinese Journal of Practical Internal Medicine

摘　　要：目的探讨淋巴瘤肝脏播散的病理特点。方法对44例死于淋巴瘤的患者进行尸体解剖,通过大体及镜下观察其肝脏播散情况。结果 44例患者肝脏播散发生率为45.45%(20/44),其中结节型占肝播散病例的55%(11/20);浸润型占45%(9/20),原发病灶位于颈部者结节型占70%,浸润型占30%,原发病灶位于颈部以外部位者结节型占40%,浸润型占60%,霍奇金淋巴瘤中结节型占72.72%,浸润型占27.27%,非霍奇金淋巴瘸结节型占33.33%,浸润型占66.66%。结论淋巴瘤肝脏播散可见结节型和浸润型两大病理类型,原发病灶位于颈部者以及霍奇金淋巴瘤以结节型播散为主,原发病灶位于颈部者以外者及非霍奇金淋巴瘤以浸润型播散为主。Objective To study the pathological feature of liver dissemination of lymphoma.Methods 44 patients died of lymphoma were be autopsy,the pathological change of the liver were observed in gross and microscope.Results 45.45%(20/44)cases have liver dissemination,thereinto55%(11/20)is nodular type,45%(9/20)is infiltrative type. The primary lesion located in cervix the nodular type is 70% and the infiltrative type is 30%,The primary lesion located outside the cervix the nodular type is 40% and the infiltrative type is 60%.The nodular type is 72.72% and the infiltra- tive type is 27.27% in Hodgkin's disease.The nodular type is 33.33% and the infiltrative type is 66.66% in non- Hodgkin's disease.Conclusion There are nodular type and infiltrative type in liver dissemination of lymphoma.The more type is nodular type in the primary lesion located in cervix and in Hodgkin's disease.Whereas it is the infiltrative type in the primary lesion located outside the cervix and in non-Hodgkin's disease.

关 键 词：淋巴瘤 尸体解剖 肝脏 播散 

分 类 号：R361.2[医药卫生—病理学] R733.1[医药卫生—基础医学]