肺霍奇金淋巴瘤1例报告并文献复习

Hodgkin's Lymphoma of Lung:A Case Report and Review of Literature

目的:探讨肺霍奇金淋巴瘤的诊断与鉴别诊断。方法:对1例肺霍奇金淋巴瘤病例进行诊断回顾并复习文献。结果:患者,女,27岁,临床表现为皮肤瘙痒,咳嗽、咳痰,左上肺大片状致密度阴影,X线是发现本病的主要手段,病理是确诊的主要依据。患者经化、放疗病情缓解。结论:肺霍奇金淋巴瘤术前临床诊断不容易,要与细支气管肺癌、肺结核、肺结节病、肺真菌感染、W egener′s肉芽肿和肺淋巴瘤样肉芽肿病等疾病鉴别。

Objective：To study the diagnosis and differential diagnosis of pulmonary Hodgkin＇s lymphoma. Methods：One case of pulmonary Hodgkin＇s lymphoma was diagnosed and studied retrospectively with review of the literature. Results ..One case of 27-years-old female presented with a huge densification shadow in left upper lung and related some symptoms, such as cutaneous pruritus ,cough and expectoration. X-ray was the main method to detect the disease. Pathology was the key method to the diagnosis. Chemotherapy and radiotherapy were effective. Conclusions：It is difficult to diagnose pulmonary Hodgkin＇s lymphoma before operation and it should be differentiated from such diseases as bronchioloalveolar carcinoma ,pulmonary tuberculosis ,pulmonary sarcoidosis ,pulmonary mycosis ,Wegener＇s granuloma and Lymphomatoid granulomatosis of the lung.