反复发热伴双肺多发结节影

Recurrent Fever Combined With Multiple Nodules Shadow in Both Lungs

目的探讨NK/T细胞淋巴瘤肺浸润的临床表现、影像学特征、鉴别诊断及治疗,以提高对NK/T细胞淋巴瘤的认识。方法收集1例NK/T细胞淋巴瘤患者的临床资料,笔者所在科室对其临床资料进行了分析讨论,从不同方面进行鉴别诊断。结果经病理诊断明确后,给予6周期DICE方案化疗,患者临床症状、影像学及实验室检查结果均好转,预后较好。结论 NK/T细胞淋巴瘤肺浸润临床表现与呼吸系统常见疾病表现无明显特异性,经及时对症对因治疗后病情好转较快。

Objective To investigate the clinical manifestations,imaging characteristics,differential diagnosis and treatment of pulmonary infiltration from NK/ T - cell lymphoma（NKTCL）to improve the cognition about NKTCL. Methods Clinical data of a case of patient with NKTCL was collected and the data was analyzed and discussed by the department of author, and differential diagnosis from different aspects was conducted. Results After definite pathological diagnosis,the patient was administered with 6 cycles of chemotherapy of DICE project. The clinical symptoms and results of imageology and laboratory inspection of the patient improved and the patient had a favorable prognosis. Conclusion The clinical manifestations of pulmonary infiltration from NKTCL are not distinctive compared with common disease of respiratory system,and the illness state can be improved rapidly by timely symptomatic treatment.