19例恶性淋巴瘤的胸部病变X线与病理研究  

A Clinicopathological and X-ray Analysis of 19 Patients with Chest Lesions of Malignant Lymphoma

作　　者：刘双[1] 姚天樵[1] 胡尚基[1] 白逸秋[1] 王福[1] 张慧信[1] 

机构地区：[1]首都医科大学附属北京安贞医院

出　　处：《实用放射学杂志》1999年第5期268-270,共3页Journal of Practical Radiology

摘　　要：目的：提高对恶性淋巴瘤胸部病变的认识。方法：对１９例恶性淋巴瘤的胸部病变进行了回顾分析。结果：全部病例经Ｘ线胸片或胸部ＣＴ证实为胸腔内肿物、肺门及纵隔淋巴结肿大、肺内浸润性或间质性病变、胸腔积液及心包积液。通过组织学检查获得恶性淋巴瘤胸部损伤的诊断，标本取材采用纤维支气管镜肺活检、经皮针吸穿刺活检、局限性开胸肺活检和剖胸探查术。１９例中，术前经Ｘ线影像诊断为恶性淋巴瘤者１０例，肺门淋巴结结核２例，肺癌４例，肺炎３例。但是最终经病理确诊何杰金氏病４例，非何杰金氏病１５例。结论：尽管此类疾病临床症状不典型，Ｘ线形态多样，但它们仍然可为诊断提供线索，此病的确诊需靠病理活检和免疫组化。Objective:To improve the recognition of chest lesions in malignant lymphoma.Methods:19 cases with chest lesions in malignant lymphoma were reviewed.Results:All of the patients chest rediographs showed tumor,enlarged lymphonode in mediastinum and hilum,pulmonary infiltration or interstitial pneumonia,pleural effusion and pericardic effusion.The diagnosis of chest lesions in malignant lymphoma was made by histologic examination,the samples were obtained by transbronchoscopy lung biopsy,percutaneous needle aspiration biopsy and open lung biopsy.Before the operation,the chest films showed that there were 10 cases of malignant lymphoma,2 cases of hilum tuberculosis and 4 cases of lung cancer as well as 3 cases of pneumonia.But it was finally proved by pathological examinations that there were 4 cases of Hodgkins disease and 15 cases non-Hodgkins disease.Conclusion:The clinical symptoms of malignant lymphoma isn′t typical,Chest films are varied,but they can provide clue for diagnosis.The final diagnosis depends on histologic examination and immune histochemistry method.

关 键 词：恶性淋巴瘤 X线摄影 病理 胸部病变 

分 类 号：R733.104[医药卫生—肿瘤] R816.4[医药卫生—临床医学]