摘要
目的探讨原发性肺淋巴瘤的临床特点、诊断和治疗方法，以提高临床医师对该病的认识，减少误诊率。方法对2014年3月至2015年2月在我科确诊的3例原发性肺淋巴瘤患者的临床表现、影像学特点、诊断及治疗方法进行总结。结果原发性肺淋巴瘤的临床表现无特异性，影像学易误诊为肺炎、肺癌等。确诊主要靠经皮肺穿刺、胸腔镜或开胸肺活检获取组织，结合病理学和免疫组化检查。纤维支气管镜检查病理阳性率低。主要治疗手段为化疗。预后与淋巴瘤的恶性程度有关。结论原发性肺淋巴瘤临床表现特异性差，容易误诊，及时进行有创检查有利于其早期诊断。
Objective To study the clinical characteristics, diagnosis and treatment of primary pulmonary lymphoma to improve the clinician awareness of the disease and reduce the misdiagnosis rate. Methods A retrospective analysis of three eases of primary pulmonary lymphoma from March 2014 to February 2015 was performed, and relevant literatures were reviewed. Results Primary pulmonary lymphoma was difficult to diagnose because of the lack of specific characteristics. Imaging was easily misdiagnosed as pneumonia, lung cancer and so on. Definite diagnosis was made by pathologic and immunohistochemical examinations. The positive rate of bronchoscope examination was low. The reco- mmended first-line therapy was chemotherapy. Prognosis was related to the degree of lymphoma. Conclusions Primary pulmonary lymphoma in clinical specificity is poor, easily misdiagnosed. Appropriate invasive biopsy is necessary for early diagnosis of primary pulmonary lymphoma.
出处
《国际呼吸杂志》
2016年第1期20-23,共4页
International Journal of Respiration
关键词
原发性肺淋巴瘤
诊断
治疗
Primary pulmonary lymphoma
Diagnosis
Therapy
