摘要
对18例结外淋巴瘤进行了临床、病理组织学及细胞表面标记的探讨,结果表明,结外淋巴瘤缺乏临床固有特征,误(漏)诊率高。病理组织学上几乎都是弥漫性NHL。从原发部位看,咽淋巴环者最多,组织学均为网状细胞肉瘤。原发于肺者与文献报道的绝大多数为小细胞型淋巴瘤相一致。从表面标记看,B细胞淋巴瘤占多数。胃肠道、肺及甲状腺原发者绝大多数为B细胞性。皮肤原发者与文献报道一致,为T helper细胞淋巴瘤。甲状腺原发T细胞淋巴瘤,文献尚未见报道,本文1例甲状腺原发淋巴瘤,细胞表面标记检测证实为T细胞性。
Clinical features,histopathology and cell surface markers were studied in 18 cases of extran odular lymphoma.The results showed that first extranodular lymphoma had no specific Clinical characteristics and had a high misdiagnosis rate.Second,Almost all of the cases were diffuse NHL in histopathology.Third,Most were first found at Waldeyer ring and all of them were reticulosarcoma.Fourth,Those primary to lungs were small non cledved cell type,which was in accord with former reports.B cell lymphoma predominated according to surface markers.Fifth,the Most of primary to gastrointestine,lungs and thyroid were seen in the presence of B cell markers.That primary to skin was of T helper cell Lmphoma and one case primary to thyroid expresences T cell markers.
