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眼眶原发性淋巴瘤(恶淋)与假性淋巴瘤(假淋)的区别诊断有一定困难,而二者的治疗及预后迥异。我院1957～1984年收治的眼眶肿物经活检诊断为恶淋及假淋者51例,经复查结合部份随访材料,确定其中恶淋20例,假淋31例,本文就此进行总结分析,蓿重对其诊断、鉴别诊断及二者关系进行初步探讨。一般临床资料:年龄:恶淋组最小4岁,最大65岁;假淋组最小27岁,最大81岁。性别:恶淋组男11例女9例;假淋组男26例女3例,不明2例。眼别:恶淋组左眼7、右眼8、双眼5例;假淋组左眼14、右眼15、双眼20例。发病到就诊时间:恶淋组最短1月最长15年余,其中4年以上者4例均同时伴有假淋;假淋组最短2月最长18年。临床症状与体征见表1。
Orbital primary lymphoma (evil shower) and pseudo-lymphoma (false shower) the difference between the diagnosis of a certain difficulty, but both treatment and prognosis are different. In our hospital from 1957 to 1984 admitted orbital masses by biopsy diagnosed as evil shower and false shower in 51 cases, after review combined with some follow-up materials, to determine which evil shower in 20 cases, false shower in 31 cases, this article summary analysis, Medicago sativa its diagnosis, differential diagnosis and the relationship between the two preliminary study. General clinical data: Age: evil group minimum 4 years old, maximum 65 years old; false shower group minimum 27 years old, maximum 81 years old. Gender: Yam group of 11 males and 9 females; False lean group of 26 males and 3 females, 2 cases unknown. Eyes do not: evil shower group left eye 7, right eye 8, binocular 5 cases; false leaching group left eye 14, right eye 15, eyes 20 cases. The incidence to the treatment time: the shortest lingering group more than 15 years in January, of which 4 were more than 4 years are accompanied by false shower; false shower group the shortest February 18 months. Clinical symptoms and signs in Table 1.