以胸腔积液为首发症状的淋巴瘤12例临床分析

黄海; 罗艺; 张炎林

以胸腔积液为首发症状的淋巴瘤12例临床分析

- 武汉市结核病防治所(武汉, 430030)

详细信息

通讯作者: 黄海,E-mail:huanghai7512@163.com

中图分类号: R733.4

收稿日期: 2013-05-09

Clinical analysis of 12 lymphoma cases with pleural effusion as the first symptom

- Tuberculosis Prevention Institution of Wuhan, Wuhan, 430030, China

More Information

Corresponding author: HUANG Hai, E-mail: huanghai7512@163.com

Received Date: 09 May 2013

摘要

摘要: 目的：提高对以胸腔积液为首发症状的特殊类型淋巴瘤的认识。方法：回顾性分析12例以胸腔积液为首发表现，疑似"结核性胸膜炎"，最后经手术病理检查、胸水细胞学检查及追踪确诊为淋巴瘤患者的临床资料。结果：12例患者均以胸腔积液为首要表现，1例伴有腋窝淋巴结肿大，其余11例无其他淋巴组织损害，胸水均为渗出液，最后经胸水细胞学、手术病理检查及追踪诊断为淋巴瘤。结论：少数淋巴瘤患者以胸腔积液为首发表现，可能与原发于胸膜淋巴组织有关，诊断困难，易误诊为结核性胸膜炎。对抗结核治疗反应欠佳且胸水腺苷脱氨酶明显增高者，应特别警惕淋巴瘤可能，宜尽快行胸腔镜检查明确诊断。
- 胸腔积液 /
- 淋巴瘤 /
- 腺苷脱氨酶
Abstract: Objective: To improve the understanding of the special type of lymphoma with pleural effusion as the first symptom.Method: Clinical data of 12 cases with pleural effusion as the first symptom,suspected tuberculous pleurisy and finally diagnosed as lymphoma by surgery pathology examination and pleural effusion cytology were retrospectively analyzed.Result: All the 12 patients were first performed with pleural effusion,1 case with axillary lymph node enlargement and the rest of the 11 cases with no other lymphoid tissue damage,and pleural effusion were exudate,finally diagnosed as lymphoma by pleural fluid cytology and track surgical pathologic examination.Conclusion: A few lymphoma in pleural effusion for starting performance may be associated with primary pleural lymphatic tissue,and its diagnosis is difficult,easily misdiagnosed as tuberculous pleurisy.People with poor response to the treatment of TB and significantly higher hydrothorax adenosine deaminase should be particularly alert to lymphoma,and underwent thoracoscopy as soon as possible.
- pleural effusion /
- lymphoma /
- adenosine deaminase

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参考文献(7)

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