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1988年7月至1990年7月我科收治脾原发性恶性淋巴瘤3例,报告如下。例1.男,42岁。左上腹隐痛并低热、腹胀2月余入院。体检:脾肋下10cm,质硬,触痛。B超:脾上缘及下缘各可见一7.1cm×7.8cm及5.1cm×5.1cm的回声不均,密度稍强光团。于1988年7月行脾、部分膈肌切除术。术中见脾肿大,质地硬,与膈肌粘连,脾门处多枚肿大淋巴结。病理诊断:脾非何杰金淋巴瘤,滤泡型,核裂—无裂混合性,侵犯膈肌及脾门淋巴结。术后化疗2个疗程,术后2年复查无复发征象。
From July 1988 to July 1990, we treated splenic primary malignant lymphoma in 3 cases, the report is as follows. Example 1. Male, 42 years old. Left upper quadrant pain and fever, bloating more than 2 months admitted to hospital. Physical examination: spleen ribs 10cm, hard, tenderness. B super: the upper edge of the spleen and the lower edge of each can see a 7.1cm × 7.8cm and 5.1cm × 5.1cm uneven echoes, the density of slightly light group. In July 1988 spleen, part of the diaphragm resection. Surgery to see splenomegaly, texture hard, and diaphragm adhesion, splenometal multiple enlarged lymph nodes. Pathological diagnosis: non-Hodgkin’s lymphoma of the spleen, follicular type, nuclear cleft - non-split mixed, infringement of the diaphragm and splenic lymph nodes. Postoperative chemotherapy 2 courses, 2 years after the review no recurrence signs.