胸内巨大淋巴结增生症6例报告  

Giant Lymph Node Hyperplasia in the Chest

作　　者：杨鸿生[1] 叶卫华[1] 施云飞[1] 肖正清[1] 晁福[1] 

机构地区：[1]昆明医学院第一附属医院胸外科,昆明650032

出　　处：《昆明医学院学报》1999年第4期8-10,共3页Journal of Kunming Medical College

摘　　要：报告诊治的胸内巨大淋巴结增生症6例,其中女性5例,男性1例,年龄22～31岁,平均(278±34)岁.1例以胸闷、气促、顽固性胸水发病,1例以疲劳起病,其余4例均无明显症状,而于体检时胸片或CT发现胸内肿块.病灶多位于纵隔、肺门区,但有2例位置特珠(1例在肋间,1例在叶间裂).所有病人均行手术治疗,术后病检3例为透明血管型,2例为浆细胞型,1例为中间型.术后随访(平均428月)有1例复发,再次手术治疗,至今再未复发.本病临床表现多样,少数患者呈现一定的特殊性,外科手术为其治疗首选。Among 6 cases of giant lymph node hyperplasia in the chest whose ages ranged from 22 to 31 years (mean age 27 8±3 4 years), four patients had no symptoms and were found incidentally in routine chest films or/and CT scans one patient exhibited dyspnea and was found a large amound of pleural effusion in the chest which was intractable, and the other one had fatigue.The lesions were mostly located in the mediastinum or the hilus of lung, but the location of the two cases of these lesions were unusual that the one was located at the intercostal space and the other in interlober fissure of the lung. All patients were performed an oeration for tumour. Through the pathologic examination, hyaline-vascular types were diagnosed in three cases, plasma-cell types in two cases, and mixture types in one. All patients were followed up. (mean time 42 8). The recurrence was observed at the thirteenth month after operation in one patient.We performed the operation on this patient again. These results suggest that the symptoms of the disease are complicated sometimes and the operation is the best way of treatment, and long-term following up is needed.

关 键 词：淋巴结增生症 胸腔 临床特征 外科手术 

分 类 号：R654.7[医药卫生—外科学]