原发性大肠恶性淋巴瘤21例临床病理分析  

Clinicopathological Analysis of Primary Mdlignant Lymphoma of Large Intestine-Report of 21 Cases

作　　者：苟昭映[1] 张勇[1] 李胜[1] 

机构地区：[1]四川省阆中市人民医院,阆中637400

出　　处：《四川肿瘤防治》2002年第4期203-205,共3页Sichuan Journal of Cancer Control

摘　　要：目的 :分析大肠恶性淋巴瘤临床病理特征及其预后有关因素。方法 :将 1976年～ 2 0 0 1年我院收治的大肠淋巴瘤患者的病史资料及组织切片进行分析研究。结果 :83 6例大肠恶性肿瘤中 2 1例为恶性淋巴瘤占2 5 1% ,男女之比为 2∶1,平均病程 4 8个月 ,临床表现以腹部肿块、腹痛、体重下降以及血便、腹胀为主要特点 ,本病少见 ,临床易误诊为癌。肿瘤位于回盲部 13例 ,升结肠 4例 ,横结肠 1例 ,降结肠 2例 ,直肠 1例。病理类型属非霍奇金淋巴瘤者 18例 ,属霍奇金病者 3例。治疗采用根治性手术切除为主的综合治疗。结论 :诊断应综合临床表现、影像学及内窥镜检查结果 ,确诊依靠病理检验 ,治疗采用根治性手术切除为主的综合治疗 。Objective: To review the clinicopathological features and the prognosis of primary malignant lymphoma of large intestine after treatment.Methods:Twenty-one patients with primary malignant lymphorna of large intestine were treated in our hospital between 1976-2001 and their history data and surgical specimens were reviewed.Results:Only 21 cases among 836 cases of primary malignant tumors of large intestine were proved pathologically to be primary malignant lymphoma with the incidence as low as 2.52%.Male:female was 2∶1.The clinical symptoms and signs of this type of malignancy were similar to those of carcinoma of Large intestine.Among 21 cases,13 cases with their lesions located in ileocecal region,4 in ascending colon,1 in transverse colon,2 in descending colon, and 1 in rectum.Pathological types:18 cases were non-Hodgkin's lymphoma,and 3 cases were Hodgkin's lymohoma.Radical surgical resection was the majure choice for this type of malignancy.Conclusion:Clinical data and pathological slices of 21 cases of primary malignant lymphoma were reviewed.The final diagnosis could be made only by pathological examination.To date,radical surgical operation remains to be the majure choice of treatment for the best prognosis.

关 键 词：原发性大肠恶性淋巴瘤 恶性淋巴瘤 原发性大肠肿瘤 病理学 预后 临床分析 诊断 临床表现 

分 类 号：R735.34[医药卫生—肿瘤]