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淋巴瘤(NHL)是原发于淋巴结和其他淋巴组织的恶性肿瘤,因该病的表现多样化,某些不典型的病例诊断较困难。我们近6年来共收治病理诊断明确的NHL28例,其中特殊表现者5例、占总例数的17.9%.报告如下。1 表现为胃肠道肿瘤例1:男,56岁。夜间盗汗伴持续中等度发热2周。体检:体温38.5℃,全身浅表淋巴结未触及,肝肋下1cm,脾未触及.3周后出现明显贫血、呕吐及腹痛。右下腹部触及条索状包块,活动、压痛,无肌紧张及反跳痛,腹部有移动性浊音。腹水呈乳糜状,右侧腹股沟淋巴结肿大,疑为消化道肿瘤。淋巴结活检病理诊断为NHL。
Lymphoma (NHL) is a malignant tumor originating in lymph nodes and other lymphoid tissues. Due to the diversified manifestations of the disease, it is difficult to diagnose some atypical cases. We nearly 6 years to treat pathologically diagnosed NHL 28 cases, of which 5 were special performance, accounting for 17.9% of the total number of cases. The report is as follows. 1 showed gastrointestinal tumors Example 1: male, 56 years old. Night sweats with sustained moderate fever for 2 weeks. Physical examination: body temperature 38.5 ℃, systemic superficial lymph nodes not touched, liver ribs 1cm, spleen not touched .3 weeks after significant anemia, vomiting and abdominal pain. Right lower abdomen touching cord-like mass, activity, tenderness, muscle tension and rebound tenderness, abdominal dullness. Ascites was chylous, right inguinal lymph nodes, suspected gastrointestinal cancer. Lymph node biopsy was diagnosed as NHL.