恶性淋巴瘤的胸部表现16例

Study of 16 Cases of Malignant Lymphoma with Chest Involvement

目的 恶性淋巴瘤常累及胸部。 74例恶性淋巴瘤中 ,16例出现胸部病变 ,发生率为 2 1.6 %。霍奇金淋巴瘤 38例中有 7例 ,非霍奇金淋巴瘤 36例中有 9例。恶性淋巴瘤常常侵犯纵隔、肺及胸膜 ,主要表现为纵隔或肺门淋巴结肿大 ,肺野均匀一致性浸润及胸腔积液等。经联合化疗与放疗 ,伴随淋巴瘤的缓解 。

Objective To examine malignant lymphoma patients with chest involvement.Methods The data on the malignant lymphoma patients with chest involvement were reviewed and analyzed. Results Of the total 74 malignant lymphoma cases, 38 had Hodgkin’s disease and 36 had non Hodgkin’s disease. In total, 16 had chest involvement, accounting for 21.6%. Among them, 7 had Hodgkin’s disease and 9 non Hodgkin’s disease. Malignant lymphoma often involves mediastinum, lungs and pleura, menifestied mainly with mediastinal or hilar enlarged of lymphonode and uniform infiltrates of the lung or pleural effusion. Using chemotherapy combined with radiotherapy can dissipate chest involvement and alleviate lymphoma itself.Conclusion Chemotherapy combined with radiotherapy is an effective way in treating malignant lymphoma patients who have chest involvement.