恶性淋巴瘤1126例临床特点分析

 目的　分析恶性淋巴瘤患者住院的临床特点。方法　从该院病案数据库提取2005年1月至2009年12月住院恶性淋巴瘤患者的资料，剔除未能明确病理分型及重复入院的病例，从年龄、性别、病理类型、肿瘤起病部位及分期等方面进行分析、总结。结果　住院的恶性淋巴瘤患者1126例，男女比例为1.94∶1。霍奇金淋巴瘤（HL）患者年龄集中在20～40岁，以混合细胞型（64.16 %）、结节硬化型（29.48 %）为主。非霍奇金淋巴瘤（NHL）患者年龄以50~70岁为多，发病率位于前10位的为弥漫大B细胞淋巴瘤（53.31 %）、结外NK／T细胞淋巴瘤（7.35 %）、套细胞淋巴瘤（6.40 %）、B细胞慢性淋巴细胞白血病／小淋巴细胞淋巴瘤（4.30 %）、间变性大细胞淋巴瘤（4.09 %）、前T细胞淋巴母细胞白血病／淋巴瘤（3.88 %）、外周T细胞淋巴瘤（非特指）（3.46 %）、血管免疫母细胞型淋巴瘤（3.04 %）、滤泡性淋巴瘤（2.94 %）、伯基特淋巴瘤（2.52 %）。两者起病部位均以颈部淋巴结常见。结论　HL和NHL发病存在性别、年龄、病理类型、起病部位等差异。

Clinical characteristics of 1126 cases of malignant lymphoma

Objective To analyze the clinical characteristics of 1126 cases of malignant lymphoma in our hospital from 2005 to 2009. Methods Age, sex, pathological classification, onset locus and clinical staging of the malignant lymphoma were analyzed and summed up, based on the data of the malignant lymphoma patient information in hospital case database from 2005 to 2009 and excluded the cases as pathology was not sure and the repeated cases. Results A male:female ratio of malignant lymphoma in inpatient was 1.94:1. The majority of Hodgkin lymphoma (HL) manifested in 20-40 years old, mixed cellularity (64.16 %) and nodular sclerosis (29.48%) was most common. The majority of non-Hodgkin lymphoma (NHL) manifested in 50-70 years old, the most common pathological classifications were diffuse large B-cell lymphoma (53.31 %), extranode nasal-type NK/T cell lymphoma (7.35 %), mantle cell lymphoma (6.40 %), B chronic lymphocytic leukemia/small B-cell lymphoma (4.30 %), anaplastic large cell lymphoma (4.09 %), precursor T cell lymphoblastic leukemia/lymphoma (3.88 %), peripheral T cell lymphoma but not otherwise specified (3.46 %), angioimmunoblastic lymphoma(3.04 %), follicular lymphoma(2.94 %), Burkitt lymphoma (2.52 %). The onset locus of both HL and NHL most often involved lymph nodes of the cervical region. Conclusion The gender, age, pathological classification, onset locus and clinical staging of malignant lymphoma were different between HL and NHL.