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恶性淋巴瘤是淋巴结和(或)结外部位淋巴组织的免疫细胞肿瘤,其发病率在高龄人群中占有较大比例,且常以结外器官受侵为首发症状。我院自1977年8月至1994年12月共收治老年非何杰金淋巴瘤209例,以结外器官受侵为首发症状者38例,占18.2％。本文对其临床资料、诊断治疗及误诊因素进行分析和讨论。 1 临床资料 1.1 性别与年龄 全组男23例,女15例。男女之比1.53:1。年龄60～72岁,平均年龄64.2岁。 1.2 首发部位 头颈部15例,其中咽淋巴环6例,鼻腔和筛窦各2例,口腔2例,腮腺1例,甲状腺2例。胃
Malignant lymphoma is an immune cell tumor of the lymph nodes and/or external nodes. The incidence of lymphoma in the elderly population accounts for a large proportion, and often the first symptom of extranodal involvement. In our hospital from August 1977 to December 1994, a total of 209 elderly patients with non-Hodgkin’s lymphoma were treated. 38 patients (18.2%) had the first symptoms of extranodal involvement. This article analyzes and discusses its clinical data, diagnostic treatment and misdiagnosis factors. 1 Clinical data 1.1 Gender and age There were 23 males and 15 females in the whole group. The ratio of men and women is 1.53:1. Age 60 to 72 years, mean age 64.2 years old. 1.2 The first site of the head and neck in 15 cases, including pharyngeal lymph ring in 6 cases, 2 cases of nasal cavity and ethmoid sinus, 2 cases of oral cavity, 1 case of parotid gland, 2 cases of thyroid gland. stomach