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目的:研究呼吸系统原发性淋巴瘤(PLRS)的临床病理特点及治疗结果。方法:回顾性分析我院2013年3月~2015年3月收治10例呼吸系统原发性淋巴瘤患者的临床资料,分析患者的生存情况、治疗情况、病理类型、影像学改变以及临床表现。结果:10例患者中有,有8例患者为NHL(占80%),其中有6例低度恶性NHL(占75.00%)、有2例中度恶性NHL(占25.00%);有2例患者为HD(20%)。患者的临床症状为发热、咳嗽、胸闷等,影像学表现为片状影音或肿块。9例手术患者,在术后有7例行化疗,有2例行放疗。2例HD患者的无病生存期为62个月,8例NHL患者的无病生存期为34~39个月。结论:呼吸系统原发性淋巴瘤需要通过手术病理确诊,其影像学和临床表现为非特异性,其主要的病理类型为NHL,其主要的治疗方法为手术治疗加化疗或放疗。
Objective: To study the clinicopathological features and treatment outcome of primary respiratory lymphomas (PLRS). Methods: The clinical data of 10 patients with primary lymphatic system of respiratory system from March 2013 to March 2015 in our hospital were retrospectively analyzed. Survival, treatment, pathological type, imaging changes and clinical manifestations were analyzed. Results: Of the 10 patients, 8 were NHL (80%), 6 were low-grade NHL (75.00%) and 2 were moderate-grade NHL (25.00%), while 2 The patient was HD (20%). Clinical symptoms of patients with fever, cough, chest tightness, etc., radiological manifestations of video or lump flake. Nine patients underwent surgery with seven patients undergoing chemotherapy and two patients undergoing radiotherapy. Two patients with HD had a disease-free survival of 62 months, and eight patients with NHL had a disease-free survival of 34-39 months. Conclusion: Respiratory system primary lymphoma needs to be confirmed by surgical pathology. The imaging and clinical manifestations are nonspecific. The main pathological type is NHL. The main treatment methods are surgical treatment plus chemotherapy or radiotherapy.