| 170例头颈部淋巴瘤的临床分析 |
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| 引用本文： | 邱元正,田勇泉,艾文彬,肖健云,赵素萍. 170例头颈部淋巴瘤的临床分析[J]. 中南大学学报(医学版), 2006, 31(6): 921-924 |
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| 作者姓名： | 邱元正 田勇泉 艾文彬 肖健云 赵素萍 |
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| 作者单位： | 中南大学湘雅医院耳鼻咽喉科,长沙,410008;南华大学附二院耳鼻咽喉科,湖南,衡阳,421001 |
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| 摘 要： | 目的：探讨头颈部淋巴瘤（lymphoma）的临床特点，提高头颈部淋巴瘤的诊断率。方法：回顾性分析1997～2005年间湘雅医院耳鼻喉科收治的170例头颈部淋巴瘤。结果：肿瘤好发部位为鼻腔鼻窦、颈部和扁桃体。170例淋巴瘤中，霍奇金病（Hodgkin disease，HD）9例，非霍奇金淋巴瘤（non-Hodgkin lymphoma，NHL）161例，NHL中T细胞性淋巴瘤占60．9％，B细胞性淋巴瘤占36．0％，混合型和未定型占3．1％。HD患者均有淋巴结肿大，NHL有淋巴结肿大者占34．8％。治疗上则以CHOP方案化疗及放疗为主。结论：头颈部淋巴瘤临床表现和影像学表现呈多样化，无特异性，确诊有赖于免疫组织化学。
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| 关 键 词： | 头颈部肿瘤 淋巴瘤 免疫组织化学 |
| 文章编号： | 1672-7347（2006）06-0921-04 |
| 收稿时间： | 2006-04-05 |
| 修稿时间： | 2006-04-05 |
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| QIU Yuan-zheng,TIAN Yong-quan,AI Wen-bin,XIAO Joan-yun,ZHAO Su-ping.
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| Authors: | QIU Yuan-zheng TIAN Yong-quan AI Wen-bin XIAO Joan-yun ZHAO Su-ping |
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| Affiliation: | Department of Otolaryngology, Xiangya Hospital, Central South University, Changsha 410008, China. xyqyz@medmail.com.cn |
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| Abstract: | Objective To study the characteristics of head and neck lymphoma in order to improve its diagnose rate. Methods Review and analysis 170 patients with head and neck lymphoma in department of otolaryngology of Xiangya hospital from 1997 to 2005. Results Nasal cavity and nasal sinuses, neck,atonsil were the common place of the origin of head and neck lymphoma. There are 9 cases Hodgkin disease and 161 cases non-Hodgkin lymphoma (NHL). T cellularity , B cellularity lymphoma, the mixed pattern and nullityping accounted for 60.9%, 36.0% and 3.1% of these patients with NHL, respectively. CHOP and radiotherapy were the main treatment method. Conclusion The clinical and imageology manifestation of head and neck lymphoma were of diversification and no specificity, whose final diagnosis depended on immunohistochemistry. |
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| Keywords: | head and neck neoplasma lymphoma immunohistochemistry |
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