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恶性淋巴瘤是发生于全身所有脏器的肿瘤。头颈部范围发病率约占8％,腮腺占1％～5％,通常大部分是非何杰金氏淋巴瘤(NHL)。术前临床和影像诊断较为困难。文章对腮腺原发性恶性淋巴瘤临床及病理学特征进行了研究。 腮腺肿瘤210例,其中考虑为初发NHL者11例。男5例,女6例,年龄25～80岁,平均56.0岁。最初症状全部为腮腺部肿瘤,有痛性仅1例,全组病例无面神经麻痹。既往慢性风湿性关节炎和干燥综合征各1例。经超声波、CT、MRI检查,良性和恶性未能判定。RI闪烁扫描,除2例外,其余病例~(67)Ca集聚,~(99m)Tc缺乏,提示为恶性肿瘤。行手术根治,术后病理确诊恶性淋巴瘤
Malignant lymphoma is a tumor that occurs in all organs of the body. Head and neck range incidence of about 8%, parotid 1% to 5%, mostly non-Hodgkin's lymphoma (NHL). Preoperative clinical and imaging diagnosis is more difficult. The clinical and pathological features of parotid primary malignant lymphoma were studied. Parotid tumors in 210 cases, of which 11 cases were considered as initial NHL. 5 males and 6 females, aged 25 to 80 years, mean 56.0 years. The initial symptoms of parotid gland tumor, there is only 1 case of pain, all patients without facial paralysis. Previous chronic rheumatoid arthritis and Sjogren's syndrome in 1 case. Ultrasound, CT, MRI examination, benign and malignant failed to determine. RI scintigraphy, in addition to 2 cases, the remaining cases of 67C Ca agglomeration, ~ (99m) Tc deficiency, suggesting a malignant tumor. Radical surgery, postoperative pathology confirmed malignant lymphoma