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已有报道恶性淋巴瘤心脏转移,占整个恶性肿瘤的9%以上,而死于淋巴瘤的病人有20%发现心脏侵犯。由于心肌被肿瘤浸润的程度,心脏功能障碍的临床症状和体征可能不典型,而且心脏受侵犯在死前不易被发现。因此,对恶性淋巴瘤心脏侵犯的知识,大部分从尸体解剖中得来。本文报道1960~1980年150例经尸解的何杰金氏病(53例)或非何杰金氏淋巴瘤(97例),其中13例(8.7%)有淋巴瘤心脏或心包壁侵犯的组织学证据。
Heart metastases of malignant lymphomas have been reported, accounting for more than 9% of the overall malignancy, while 20% of those who died of lymphoma found cardiac involvement. Due to the extent to which the myocardium is infiltrated by the tumor, the clinical signs and symptoms of cardiac dysfunction may not be typical, and the violation of the heart may not be easily detected before death. Therefore, the knowledge of malignant lymphoma in the heart, mostly derived from autopsy. This article reports 150 autopsy cases of Hodgkin’s disease (53 cases) or non-Hodgkin’s lymphoma (97 cases) from 1960 to 1980, of which 13 (8.7%) had lymphatic heart or pericardial invasion Histological evidence.