单侧扁桃体肿大与非霍奇金淋巴瘤

Unilateral tonsillar enlargement and malignant tonsillar lymphoma

目的 :探讨单侧扁桃体肿大患者中恶性淋巴瘤的发生及临床特征 ,以利早期发现并综合治疗。方法 :对 10 0例单侧扁桃体肿大患者行单侧扁桃体切除术 ,对其中 10例证实为非霍奇金淋巴瘤 (NHL)者行全身联合化疗 ,8例术后放疗。结果 :10例NHL 5年生存率为 6 0 %。结论 :短期内有进行性扁桃体单侧肿大、扁桃体外观可疑者 ,需行以活检为目的的扁桃体切除术 ;有上呼吸道症状及全身系统症状如发热、畏寒、盗汗 ,颈部、腋下、腹股沟淋巴结肿大及肝脾肿大等都是扁桃体恶性淋巴瘤的主要临床特征 ;

Objective:To study clinic characters of malignant lymphoma in patients with unilateral tonsillar enlargement for early discover and synthetic therapy clinic characters of malignant lymphoma patients with unilateral tonsillar enlargement for early discover and synthetic therapy. Method:10 cases of non Hodgkin's lymphoma(NHL) out of 100 unilateral tonsillar enlargement patients given tonsillectomy were treated with combined chemotherapy.8 cases of 10 underwent local radiotherapy after operation.Result:5 years survival rate was 60% in 10 patients with NHL. Conclusion:Progressing unilateral swollen tonsil found in a short time with suspicious appearance should be given tonsillectomy for hisopathology;upper airway and systematic symptoms such as fever and rigors, night sweats; lymphatic enlargement in cervical,axillary, inguinal region; hepatosplenomegaly should be thought of main traits of malignantlymphoma,and hyposensitivity to medcine should be taken malignant lymphoma into account.