130例浅表淋巴结病变类型临床分析

The Clinical Analysis of Pathological Characteristics in 130 Cases of Superficial Lymphadenopathy

目的：分析浅表肿大淋巴结切除标本的病理特征与临床表现的关系。方法：对2002年1月1日~2007年9月30日期间收到的浅表肿大淋巴结切除标本病变类型及临床表现进行回顾性分析。结果：130例浅表肿大淋巴结中,淋巴结炎53例（40.77%）,转移癌25例（19.23%）,结核病20例（15.38%）,猫抓病15例（11.54%）,反应性增生12例（9.23%）,淋巴瘤4例（3.08%）,结节病1例（0.77%）。临床诊断与病理诊断完全符合49例（37.7%）,不符合42例（32.3%）,待诊断39例（30%）。结论：浅表淋巴结肿大,大多数是感染性疾病所致,其次为转移癌和淋巴瘤。

Objective： To analyze the pathologic characteristic of superfic lymphadenopathy. Methods： The data of 130 cases of superfic lymphadnopathy from Jan 2002 to Sep 2007 in our hospital were analyzed retrospectively. Results： Among the 130 cases, the ratio of lymphadenitis was 40.77%, metastatic carcinoma was 19.23%, tuberculosis was 15.38%, cat-scratch was 11.54%, reactive lymphadenitis was 9.23%, lymphoma was 3.08% and sarcoidosis was 0.77%. Conclusion： Most cases of the superfic lymph- adenopathy are caused by infection, then metastatic carcinoma. And a few cases is caused by lymphoma.