论文部分内容阅读
原发性睾丸恶性淋巴瘤(primary malignant lymphomaof the trestis PMLT)较少见,占睾丸肿瘤的1％～8％,我院自1988～1998年共收治8例,现报告如下: 本组8例,年龄48～71岁,平均年龄60岁,发生于右睾丸4例,左侧2例,双侧2例。首发症状均为无痛性睾丸肿大或变硬,1例有阴囊下坠感。体检除睾丸肿块外无异常发现。血常规均正常,胸片示肺未见异常,纵隔无淋巴结肿大。B超肝、脾未见异常,腹膜后淋巴结无肿大,病侧增大睾丸内有低回声灶或弥漫性低回声区。病理类型:7例B细胞淋巴瘤包括弥漫性小无裂细胞型3例,弥漫性大小细胞混合型2例,弥漫性大无裂细胞型2型。1例T细胞淋巴瘤为弥漫性多型细胞型。
Primary malignant lymphoma of the trestis (PMLT) is rare, accounting for 1% to 8% of testicular tumors. Our hospital has treated 8 cases from 1988 to 1998. The current report is as follows: 8 cases in this group, Aged 48 to 71 years old, with an average age of 60 years, occurred in 4 cases of right testis, 2 cases in the left side, and 2 cases in both sides. The first symptoms were painless testicular enlargement or hardening, and one case had a scrotal drop. Physical examination was not abnormal except for testicular mass. The blood was normal, chest radiographs showed no abnormalities in the lungs, and there was no lymphadenopathy in the mediastinum. There was no abnormality in the liver and spleen of B ultrasound, and there was no enlargement of retroperitoneal lymph nodes. The increase in diseased side had hypoechoic lesions or diffuse hypoechoic areas in the testis. Pathological types: 7 cases of B-cell lymphoma included diffuse small non-cleaved cell type 3 cases, diffuse size cell mixed type 2 cases, diffuse large non-cleaved cell type 2 type. One case of T-cell lymphoma was a diffuse polytype cell type.