45例腹部结核性肿块误诊淋巴瘤原因分析

The analyse of the misdiagnose cause for 45 patients With abdominal malignant lymphome or being initially diagnosed as the tubercle mass in the ahdominal cavity

本文分析了我院１９８８～１９９２年４５例腹部结核性肿块误诊淋巴瘤的原因。１．忽视临床资料。本文提出：凡４０岁以下者有结核中毒症状和／或结核史者，结核、肿瘤一时难以区别，应首先考虑结核，及早确诊。２．肿块直经越小，良性病变可能性越大。作者提出如果肿块直经小于５ｃｍ，则倾向于良性肿瘤可能性大。３．结核与淋巴瘤超声图象有其共性，也有各自相对专一的特征性表现。

Abstract The misdiagnose cause of 45 patients with abdominal malignant lymphome of being initiallydiagnosed as the tubercle mass,meet in our hospital between 1988 and 1992 were analiged.Theineligible collection of clinic document,including the special symptom and sign on the past historyabout the tuberculosis;the preferance of diagnoses to the malignant disease for some oncologymedical,and the deficiency of knowledge about the characteristic image of echography for thesemass in the abdominal cavity were important facfion of the misdiagnoses.This paper suggest that it is reason to perfer the diagnoses of the tubercle mass to the malignant disease for a mass in the abdominal cavity if the patient is younger than 40-year-old withthe characteristic symptom and for the past history about the tuberculoscis,and if the patient hasa abdominal mass smaller than 5 cm of maximum diameter.