颌面颈部恶性淋巴瘤临床分析

Clinical Analysis of Malignent Lymphoma in Maxilloface and Neck

目的 :总结口腔颌面颈部恶性淋巴瘤 (ML)的诊断方法及治疗措施 .方法 :回顾性分析收治的ML患者 38例的临床资料 .结果 :霍奇金病 (HD) 5例 ,非霍奇金淋巴瘤 (NHL) 33例 . 31例采用综合治疗 ,7例采用单纯化疗 . 38例 1,3,5a生存者分别为 5 ,14 ,12例 ,存活患者中以临床Ⅰ ,Ⅱ期者占绝大多数 ,死亡患者中以IV期为多 .结论 :早期明确ML的诊断并早期治疗效果较好 ,综合治疗是最有效的治疗手段 .

Objective: To investigate the diagnosis and treatment of Malignant lymphoma (ML) in maxilloface and neck. Methods: From October of 1989 to October of 2001, 38 patients (25 male and 13 female) with ML in maxilloface and neck admitted in our department. Results: 5 cases were Hodgkin's disease (HD) and 33 cases non-Hodgkin's lymphoma (NHL), 31 cases accepted systemic treatment. 7 cases chemotherapy only. The survival of 1, 3 and 5 years for 38 patients was 5, 14 and 12 cases. Among survivals, most was I and II stage clinically, while in those dead patients, most belonged IV stage. Conclusion: Early diagnosis and treatment can get a well effect. Chemotherapy combined with radiotherapy and operation is still the effective therapeutic means. The clinical staging classification is valuable for prognosis.