咽喉部淋巴瘤的临床分析  

Clinical analysis of lymphoma in larynx and pharynx

作　　者：于刚[1] 崔潇[1] 王铮[1] 姜学钧[1] 

机构地区：[1]中国医科大学附属第一医院耳鼻咽喉科,辽宁沈阳110122

出　　处：《中国耳鼻咽喉颅底外科杂志》2016年第5期388-392,共5页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的分析咽喉部淋巴瘤的临床特征,提高咽喉部淋巴瘤的临床检出率。方法回顾性分析16例咽喉部淋巴瘤患者的临床资料。结果咽喉部淋巴瘤临床症状主要为咽喉部疼痛(14例),咽喉部异物感(12例),部分患者伴声嘶(6例),发热、乏力、盗汗(5例),呼吸困难(2例),及痰中带血(1例)。16例患者均经电子喉镜下活检病理证实:NK/T细胞淋巴瘤11例,B细胞淋巴瘤5例。结论咽喉部淋巴瘤的临床症状无特异性,电子喉镜下病变的表现有一定的特殊性,电子喉镜检查有利于早期发现并且可以在电子喉镜引导下嵌取病变组织,结合病理结果进行疾病的诊断,减少误诊及漏诊。Objective To analyze the clinical characteristics of lymphoma in larynx and pharynx for improving the detection rate of lymphoma in these regions. Methods Clinical data of sixteen patients suffering from lymphoma in larynx and pharynx were analyzed retrospectively. Results The main clinical symptoms were sore throat （ n = 14 ）, globus pharyngeus （ n = 12 ） , hoarseness （ n = 6）, and fever or fatigue or night sweat （ n = 5 ）. Only 2 patients complained of dyspnea and one complained of blood-stained sputum. Biopsy was performed under electronic laryngoscope in all the 16 patients. The diagnosis was confirmed by pathology as NK/T cell lymphoma in 11 and B-cell lymphoma in 5. Conclusion There were no specificity in clinical symptoms, and the electronic endoscopic findings showed some particularities. Electronic laryngoscope examination could find the lesion in early stage and perform the biopsy for pathology, thus reduce the misdiagnosis and missed diagnosis.

关 键 词：淋巴瘤 电子喉镜 咽喉 诊断 

分 类 号：R739.6[医药卫生—肿瘤]