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目的 肺粘膜相关型淋巴瘤 (MALT型淋巴瘤 )虽是相对少见且临床诊断困难的肺部肿瘤 ,但老年人发病率较高 ,本文旨在引起临床医师对本病的重视。 方法 利用 8例完整的临床、病理资料 ,结合文献 ,探讨肺MALT型淋巴瘤的诊断、病理特征、预后及治疗等问题。 结果 ①本组 8例均为肺低度恶性MALT型淋巴瘤。②临床上 8例病人均有吸烟、反复肺部感染等超常慢性免疫系统刺激因素存在。③肺MALT型淋巴瘤与肺炎性假瘤关系密切 ,需通过免疫组化等方法加以鉴别。 结论 ①肺MALT型淋巴瘤的临床症状和影像学表现缺乏特异性 ,极易误诊 ,病理检查是该病确诊的金指标。②临床上凡遇肺部病灶诊断不明或炎性假瘤只要病人能承受手术 ,建议尽早手术切除。
Objective Lung-mucosal-associated lymphoma (MALT-type lymphoma) is a relatively rare and difficult-to-diagnose pulmonary tumor, but the incidence is high in the elderly. This article aims to arouse the attention of clinicians to this disease. Methods Eight cases of complete clinical and pathological data were combined with literature to explore the diagnosis, pathological features, prognosis and treatment of lung MALT-type lymphoma. Results 1 In this group, 8 cases were all low-grade malignant MALT lymphoma. 2 Clinically, 8 patients were found to have abnormal chronic immune system stimuli such as smoking and recurrent pulmonary infection. 3 The lung MALT-type lymphoma is closely related to the pseudotumor of pneumonia. It needs to be identified by means of immunohistochemistry. Conclusion 1 The clinical symptoms and imaging findings of lung MALT lymphoma are lack of specificity and are easily misdiagnosed. Pathological examination is the gold indicator for the diagnosis of this disease. 2 Clinically, whenever the diagnosis of lung lesions is unclear or inflammatory pseudotumor, as long as the patient can withstand surgery, it is recommended that surgical resection be performed as soon as possible.