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慢性淋巴细胞型白血病(CLL)系淋巴网状系统的恶性增生性疾病,国内少见。现将我院初诊时误诊的3例报告如下。1 临床资料:男2、女1;年龄45～58岁,均因颈部迅速增大的肿块就诊。淋巴组织病理诊断为淋巴瘤(ML),其中2例曾按ML给予COMP方案化疗。查体:颈部、腋下及腹股沟处触及数枚大小不等、无压痛、表面光滑和质地中等的淋巴结。扁桃体Ⅰ-Ⅲ°肿大、1例有脾肿大,实验室检查:Hb90～130g/L,WBC15～39×10~9/L、L0.63～0.92、BPC130～185×10~9/L。骨髓象符合CLL。均给予瘤可宁治疗,淋巴结缩小,WBC恢复正常范围出院。门诊随访,其中1例因肺部感染再次住院治疗无效而死亡。
Chronic lymphocytic leukemia (CLL) Department of lymphatic system of malignant proliferative diseases, rare in China. Now my hospital misdiagnosed when the first three cases reported as follows. 1 clinical data: male 2, female 1; aged 45 to 58 years old, all due to the rapidly increasing mass of the neck treatment. Lymphomas (ML) were diagnosed by pathology of lymphoid tissue, and two of them were given COMP chemotherapy according to ML. Physical examination: Neck, underarms and groin touched several pieces of different sizes, no tenderness, smooth surface and medium texture of lymph nodes. Tonsil Ⅰ-Ⅲ ° swollen, 1 case of splenomegaly, laboratory tests: Hb90 ~ 130g / L, WBC15 ~ 39 × 10 ~ 9 / L, L0.63 ~ 0.92, BPC130 ~ 185 × 10 ~ 9 / L . Bone marrow is in line with CLL. Were given tumor Ning treatment, lymph node narrowing, WBC returned to normal range of discharge. Outpatients were followed up, of which 1 died of another hospital infection due to pulmonary infection.