7例口咽部恶性淋巴瘤误诊分析

Misdiagnosis analysis of seven cases of malignant lymphoma in oropharyngeal region

目的探讨口咽部恶性淋巴瘤误诊的原因和避免误诊的措施。方法回顾性分析7例口咽部恶性淋巴瘤患者的临床资料。结果易误诊疾病为口咽癌、慢性黏膜炎症、口腔溃疡。经病理确诊均为非霍奇金淋巴瘤。确诊平均活检次数2次。结论口咽部恶性淋巴瘤无特异性临床表现,容易发生误诊,应提高认识,尽早行病理学检查以减少误诊。高质量的病灶取材是避免病理误诊滞诊的关键。

Objective To explore the reason of misdiagnosis of oropharyngeal malignant lymphoma and its prevention methods. Methods Seven cases with oropharyngeal malignant lymphoma were retrospectively analyzed. Results The frequent misdiagnosis was oropharyngeal carcinoma, chronic mucositis, aphthous ulcer. All cases were pathologically diagnosed non-Hodgkin＇s lymphoma. Two times was averagely necessary to biopsy. Conclusion Oropharyngeal malignant lymphoma which is easily misdiagnosed, with its nonspecifically clinical features, may arouse higher attention, and need pathological examination earilier. The fine pathological sample is key to the prevention of misdiagnosis of oropharyngeal malignant lymphoma.