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16例组织细胞性坏死性淋巴结炎临床病理分析
引用本文:邹善华,王宝珍,潘文生.16例组织细胞性坏死性淋巴结炎临床病理分析[J].复旦学报(医学版),1998(5).
作者姓名:邹善华  王宝珍  潘文生
作者单位:上海医科大学中山医院血液科
摘    要:目的了解组织细胞性坏死性淋巴结炎的临床病理特征。方法对16例组织细胞性坏死性淋巴结炎患者进行回顾性分析。结果本病临床上以颈部淋巴结肿大、发热及外周血白细胞减少为主要表现;病理特征为淋巴结广泛凝固性坏死和组织细胞增生。糖皮质激素治疗有效。结论组织细胞性坏死性淋巴结炎是一个自限性淋巴结病变,在临床上及组织学上易与淋巴瘤相混淆,应引起临床医师注意

关 键 词:组织细胞性坏死性淋巴结炎  淋巴结肿大  凝固性坏死  组织细胞增生

A CLINICAL PATHOLOGICAL ANALYSIS OF 16 CASES OF HISTIOCYTIC NECROTIZING LYMPHADENITIS
Zou Shanhua,Wang Baozheng,Pan Wensheng.A CLINICAL PATHOLOGICAL ANALYSIS OF 16 CASES OF HISTIOCYTIC NECROTIZING LYMPHADENITIS[J].Fudan University Journal of Medical Sciences,1998(5).
Authors:Zou Shanhua  Wang Baozheng  Pan Wensheng
Institution:Zou Shanhua,Wang Baozheng,Pan Wensheng *
Abstract:PURPOSE To investigate the clinicopathologic features of histiocytic necrotizing lymphadenitis(HNL). METHODS Sixteen cases of HNL were retrospectively analyzed. RESULTS Patients with HNL usually presented with the enlargement of the cervical lymph nodes, fever and leukopenia. Histologic features of the lymph nodes were characterized by wide coagulation necrosis and histiocytic hyperplastia. Patients with HNL responded to glucocorticosteroids. CONCLUSIONS HNL is a self-limited lymphadenopathy that is easily confused clinically and histologically with lymphoma. Clinician must be aware of this condition.
Keywords:histiocytic necrotizing lymphadenitis  lymph nodes enlargement  coagulation necrosis  histiocytic hyperplastia  
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