宫颈原发恶性性淋巴瘤26例的诊断与治疗

Diagnosis and therapy of 26 cases with primary malignant cervical lymphoma

目的 :探讨宫颈原发性淋巴瘤的诊断与治疗。方法 :回顾性分析 2 6例宫颈恶性淋巴瘤的临床及随访资料 ,应用SSPS10 0软件包建立数据库 ,分析宫颈恶性淋巴瘤的临床特征、治疗及预后。结果 :宫颈淋巴瘤可以发生于任何年龄期的妇女 ,术前误诊率达 5 7 6 9% (15 / 2 6例 ) ,2 6例患者中死亡 3例 ,五年生存率为 88 4 6 % ,中位生存期为 10 9 85月 (95 %可信区间 94 97～ 12 4 74月 )。结论 :宫颈淋巴瘤发病相对少见 ,临床易误诊 ,采用化疗联合手术及放疗的综合治疗能够显著提高宫颈淋巴瘤的疗效 ,减少术后复发。

Purpose:To explore the clinical feature,and treatment of primary cervical lymphoma. Methods:Clinical data and follow-up survey data of 26 cases were retrospectively analyzed with SSPS software. Results:Primary cervical lymphoma could occur in any age group of women. The misdiagnosis rate was as high as 57.69% (15/26 case).Three of 26 patients died,the five years survival rate was 88.46%.Conclusions:Primary cervical lymphoma is rare,which was very often misdiagnosised. The treatment consisted of an combination of chemotherapy,operation and radiotherapy,which could improve curative results and reduce relapse.