原发性肾上腺非霍奇金淋巴瘤的诊治  

Diagnosis and treatment of primary adrenal non-Hodgkin＇s lymphoma

作　　者：王亮[1,2] 汤坤龙[2] 李黎明[2] 徐勇[1] 

机构地区：[1]天津医科大学第二附属医院泌尿外科,300211 [2]天津医科大学总医院泌尿外科

出　　处：《中华内分泌外科杂志》2015年第5期421-424,共4页Chinese Journal of Endocrine Surgery

摘　　要：目的：探讨肾上腺原发性非霍奇金淋巴瘤（primary adrenal lymphoma，PAL）的临床特征、治疗方法及预后。方法回顾性分析2007年1月至2014年5月天津医科大学总医院泌尿外科收治的8例PAL的临床资料。结果6例行手术治疗，2例行肾上腺穿刺活检，8例病理均为非霍奇金淋巴瘤，其中B细胞型6例，T细胞型1例，NK细胞型1例。1例随访2年仍存活，其余7例生存期为2～9个月。结论 PAL临床罕见，影像学检查缺乏特异性。 PET-CT对诊断此病具有重要价值，本病预后差，以手术为主的综合治疗效果优于单一治疗。Objective To investigate the clinical characteristics , treatment and prognosis of primary ad-renal lymphoma （ PAL） .Methods Clinical data of 8 cases of PAL admitted from Jan .2007 to May.2014 were analyzed retrospectively .Results Of all the cases , 6 patients underwent adrenalectomy , and 2 patients under-went adrenal biopsy .Pathology revealed all the 8 cases had non-hodgkin＇s lymphoma , 6 cases were B cell type , 1 case was T cell type , and 1 case was NK cell type .One case was followed up for 2 years and was still alive .The other 7 cases died 2 to 9 months after the treatment .Conclusions PAL is extremely rare which has no special imaging characteristics .PET-CT is of great value in diagnosis of the disease .The disease has a high malignant behavior and poor prognosis .The comprehensive therapy has better effects than single therapy .

关 键 词：肾上腺 淋巴瘤 

分 类 号：R736.6[医药卫生—肿瘤]