以不明原因发热为主要表现的淋巴瘤的诊断  

Diagnosis of Lymphomas in Fever of Unknown Origin Cases

作　　者：徐益明[1] 金美玲[1] 

机构地区：[1]复旦大学附属中山医院呼吸内科,上海200032

出　　处：《中国临床医学》2009年第4期640-642,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:提高以不明原因发热(FUO)为主要表现的淋巴瘤的诊断水平。方法:通过3例病理证实的以FUO为主要表现的恶性淋巴瘤的病例分析,结合文献,对淋巴瘤的血液学检查、各无创有创检查手段的选择及应用价值进行分析。结果:对于长期FUO患者,18F-FDGPET筛查淋巴瘤具有独特价值,通过包括淋巴结、骨髓活检、脾活检等在内的活组织检查是淋巴瘤确诊的有效途径。结论:以长期FUO为主要表现的淋巴瘤临床缺乏特异性,易延误诊断,确诊取决于组织病理学证据。Objective： To improve the diagnosis of lymphamas in FUO cases. Methods： Three patients with Iymphomas and FUO confirmed by pathology were presented and the relevant literatures were reviewed. Also, laboratory tests, invasive and non-invasive procedures were analysed. Results： 18F-FDG PET imaging appears to be a valuable imaging procedure for screening of lymphoma in FUO cases. Lymph nodes biopsy, hone marrow examination and spleen needle biopsy are helpful to identify the disease. Conclusion：The clinical features of lymphomas in FUO cases are insufficient to eharacterise a disease, and they may be misdiagnosized. Biopsy may then confirm the diagnosis.

关 键 词：发热 不明原因 淋巴瘤 诊断 

分 类 号：R733[医药卫生—肿瘤]