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原发官颈的恶性淋巴瘤罕见,国内仅见二例报告,我院从1958年至今31年来见有本病二例,特予以报道。 病例1 住院号419551 32岁,妊3产1,因阴道不规则出血,伴多量水样恶臭白带1年,于1986年7月2日入院。入院检查,轻度贫血貌,全身表浅淋巴结未触及,心、肺正常,肝、脾未触及,腹部无包块。妇科检查:外阴正常,阴道狭窄,前壁及双侧壁达下1/3,后壁达上1/3均为质硬结节状肿瘤经犯,官颈肿瘤与阴道肿瘤连结成块,子官体稍大,活动欠佳,双侧宫旁结节状增厚达骨盆壁,弹性差。肾图检查右肾无功能,左肾功能正常:CT扫描腹主动脉旁淋巴结不大,左肾盂及右输尿管积水:官颈组织活检病理报告:弥漫性非何杰金氏恶性淋巴瘤混合细胞型,伴部分变性(病理号103511),诊断:原发宫颈恶性淋巴瘤。
Malignant lymphoma of the primary neck rare, only two cases of domestic reports, our hospital from 1958 to 31 years have seen the disease in two cases, especially to be reported. Case 1 Hospital No. 419551 32-year-old, pregnant and 3 producing 1, due to irregular vaginal bleeding, with a large amount of water-like odor leucorrhea for 1 year, on July 2, 1986 admission. Admission examination, mild anemia appearance, systemic superficial lymph nodes not touched, heart, lungs normal, liver, spleen not touched, no mass in the abdomen. Gynecological examination: normal vulva, vaginal stenosis, anterior and bilateral wall up to 1/3, the posterior wall up to 1/3 are hard and nodular tumor through the neck and neck tumor and vaginal tumor into blocks, sub Officials slightly larger, poor activity, bilateral uterine nodular thickening of the pelvic wall, poor flexibility. Nephrograph examination right kidney no function, left kidney function is normal: CT scan abdominal paraaortic lymph node is not large, left renal pelvis and right ureter hydrocephalus: neck biopsy pathology report: diffuse non-Hodgkin’s lymphoma mixed cell Type, with part of the degeneration (pathology No. 103511), diagnosis: primary cervical lymphoma.