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本文按照NLPCG分类标准对上海第一医学院肿瘤医院26例和广州军区总院44例NHL尸检材料进行了复习。对30例有活检材料的病例进行了对照,发现其中25例尸检时仍维持同一细胞形态,LB组有2例细胞体积增大,LC组有2例异形细胞增多,1例由mx转变为LNC。 73%患者死于肿瘤浸润,17%死于感染,7%死于出血,LB组中49%有骨髓侵犯,LC组为20%。LNC组为44%。16例结外NHL中,13例为广州材料,其中5例符合Burkitt’s淋巴瘤。广州鼻咽癌的发病率很高,这二种肿瘤均与EB病毒有关,很值得作进一步的研究。
According to the NLPCG classification standard, 26 cases of Shanghai First Medical College Cancer Hospital and 44 cases of NHL autopsy materials from Guangzhou Military Region General Hospital were reviewed. Thirty cases with biopsy material were compared and found that in 25 cases of autopsy still maintain the same cell morphology, LB group, 2 cases of cell volume increased, LC group, 2 cases of abnormal cells increased, 1 case of mx into LNC . Seventy-three percent of patients died of tumor invasion, 17% died of infection, and 7% died of hemorrhage. In LB group, 49% had bone marrow involvement and 20% in LC group. LNC group was 44%. Of the 16 patients with extranodal NHL, 13 were from Guangzhou and 5 were Burkitt’s lymphoma. Guangzhou, a high incidence of nasopharyngeal cancer, both of these tumors are associated with Epstein-Barr virus, it is worth further study.