以鼻旁软组织肿胀为首发症状的淋巴瘤16例临床分析

Clinical analysis of 16 lymphoma patients with paranasal soft tissue swelling as the first finding

目的分析以鼻旁软组织肿胀为首发症状的淋巴瘤临床特点,提高早期诊断率。方法回顾性分析16例以鼻旁软组织肿胀为首发症状的淋巴瘤患者临床资料。结果 16例患者主要症状为鼻旁软组织肿胀、鼻塞、鼻涕;CT主要表现为鼻翼、鼻唇沟软组织增厚及鼻腔鼻窦软组织密度影或异常密度影;病理检查以NK/T细胞淋巴瘤为主。结论以鼻旁软组织肿胀为首发症状的淋巴瘤较为罕见、易误诊,临床表现及影像学检查缺乏特异性,诊断主要依靠病理检查。

Objective To analyze clinical characteristics of lymphoma patients with paranasal soft tissue swelling as the first finding,and improve the early diagnostic rate. Methods The clinical data of 16 lymphoma patients with paranasal soft tissue swelling as the first finding were analyzed retrospectively. Results The main symptoms of 16 patients were paranasal soft tissue swelling,rhinocleisis,nasal discharge; CT scan showed thickened soft tissue in nasal ala and nasolabial sulcus. Pathologic examination showed the majority of them were NK / T cell lymphoma. Conclusion Lymphoma with paranasal soft tissue swelling as the first finding is rare and prone to misdiagnosis,its clinical manifestation and imaging examination lack specificity,and the diagnosis mainly depends on pathological examination.