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目的讨论恶性淋巴瘤肺浸润的临床表现和诊断。方法回顾性分析1986年1月至2006年8月中国石油辽阳石油化纤公司职工医院肿瘤内科收治的17例恶性淋巴瘤肺浸润病例的临床资料。结果收治的78例恶性淋巴瘸患者中,出现肺浸润17例。其中霍奇金淋巴瘤(HD)3例,非霍奇金淋巴瘤(NHL)14例,全部病例均为Ⅳ期。5年以上生存者1例,生存最短者2个月。结论恶性淋巴瘤肺浸润临床较常见,临床症状、体征多不典型,影像学诊断是确诊的主要依据。
Objective To discuss the clinical manifestations and diagnosis of pulmonary infiltrates in patients with malignant lymphoma. Methods The clinical data of 17 cases of malignant lymphoma with pulmonary infiltrates treated in Department of Oncology, Staff Hospital, PetroChina Liaoyang Petrochemical Company from January 1986 to August 2006 were retrospectively analyzed. Results 78 cases of malignant lymphatic lax patients admitted, 17 cases of pulmonary infiltrates. Among them, 3 were Hodgkin lymphoma (HD) and 14 were non-Hodgkin’s lymphoma (NHL). All cases were stage IV. 1 case survived for more than 5 years, 2 months survival shortest. Conclusions The clinical manifestations of pulmonary infiltrates in patients with malignant lymphoma are more common. Clinical symptoms and signs are often atypical. Imaging diagnosis is the main basis for diagnosis.