以巨大颈部包块为特征的儿童恶性淋巴瘤诊治分析  

Analysis of malignant lymphoma in children with large neck masses

作　　者：代维[1] 邹剑[1] 郑虹[1] 

机构地区：[1]四川大学华西医院耳鼻咽喉头颈外科,四川成都610041

出　　处：《西部医学》2013年第11期1656-1659,共4页Medical Journal of West China

摘　　要：目的探讨以颈部巨大包块为表现的儿童恶性淋巴瘤的临床特征。方法回顾分析7例行单侧区域性颈部淋巴结清扫术或肿大淋巴结活检术患儿的临床资料,探讨儿童巨大颈包的诊断治疗。结果 7例患儿术后经病理学检查证实为恶性淋巴瘤,术后联合化疗,5例颈部肿块消失,1例未完全消失,1例复发。结论儿童头颈部的恶性淋巴瘤比较少见,儿童颈后三角及锁骨上淋巴结肿大、头颈部淋巴结融合成巨大瘤块应想到恶性淋巴瘤的可能。Objective To investigate the clinical features of the malignant lymphoma characterized by large neck masses in children.Methods To analyze the clinical data of 7 children with large neck masses diagnosed lymphoma through selective unilateral cervical lymphadenectomy or lymph node biopsy retrospectively.Results After postoperative chemotherapy,the lumps on the neck of five children disappeared and one case partly disappeared.One case recurred after postoperative treatment.Conclusion Malignant lymphoma of head and neck in children is relatively rare.When lymphadenectasis occurs on posterior triangle or supraclavicular region in neck,which even integrated into the large lumps,malignant lymphoma should be considered.

关 键 词：颈部巨大包块 儿童 淋巴瘤 

分 类 号：R733[医药卫生—肿瘤]