首都医科大学学报 ›› 1998, Vol. 19 ›› Issue (2): 136-138.

• 论著 • 上一篇    下一篇

淋巴瘤的胸部表现

于森, 李小婴, 陈秉良, 汪家瑞   

  1. 首都医科大学宣武医院内科
  • 收稿日期:1997-12-02 修回日期:1900-01-01 出版日期:1998-04-15 发布日期:1998-04-15

The Chest Manifestations in the Patients with Lymphoma

Yu Sen, Li Xiaoying, Chen Bingliang, Wang Jiarui   

  1. Xuanwu Hospital, Affiliate of Capital University of Medical Sciences
  • Received:1997-12-02 Revised:1900-01-01 Online:1998-04-15 Published:1998-04-15

摘要: 分析了50例经病理确诊的淋巴瘤病例,重点是有呼吸系统症状及胸片、胸部CT异常的病例.50例中13例以呼吸系统症状为首发表现,30例有胸片异常,9例胸部CT异常,表现为胸水、纵隔增宽、肺内结节影等.提示淋巴瘤胸部受累影像学表现多种多样,缺乏特征性,需与多种胸科疾病鉴别.胸部CT能准确显示肺门及纵隔淋巴结肿大影.双侧胸水并纵隔增宽者、心包积液者预后差.淋巴瘤有胸部受累者63.3%预后不良.

关键词: 淋巴瘤, 何杰金病, 胸部损伤

Abstract: The study the characteristics of lymphoma of the respiratory system may avoid misdiagnosis and incorrect treatment. The authors analysied 50 cases of lymphoma with respiratory tract symptoms, abnormal changes in the chest roentgenogram and CT. 13 of the 50 cases firstly suffered from the respiratory tract symptoms, 30 cases had abnormality in the chest roentgenogram, 9 cases had abnormality in the chest CT. It was manifested as pleural effusion, mediastinum distention, lung nodules on X ray and CT. The radiological changes in the chest affected by lymphoma were non specific and needed to be differentiated from other chest diseases. CT might accurately show distention imaging of hilum and mediastinal lymph nodes. The cases of bilateral pleurel effusion with mediastinal distention or pericardial effusion with poor prognosis were over 63.3% which should be diagnosed and treated at the early stage.

Key words: lymphoma, hodgkin disease, thoracic injuries

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