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目的:探讨宫颈恶性淋巴瘤病理特征与治疗、预后关系。方法:应用光镜,电镜及免疫组化方法,回顾性分析5例宫颈原发恶性淋巴瘤的临床病理特点。结果:主要表现为阴道少量出血和子宫颈肥大或息肉。按AnnArbor分期大多数为IE期患者。4例来源于B细胞,属于粘膜相关性淋巴瘤;1例来源于T细胞。采取手术、化疗或放疗等方法综合治疗后,无1例复发或死亡。结论:宫颈原发恶性淋巴瘤大多数属于粘膜相关性淋巴瘤,预后较好。
Objective: To investigate the relationship between the pathological features, treatment and prognosis of cervical malignant lymphoma. METHODS: The clinicopathological features of 5 cases of primary malignant lymphoma of the uterine cervix were analyzed retrospectively using light microscopy, electron microscopy and immunohistochemistry. Results: The main manifestations of vaginal bleeding and cervical hypertrophy or polyps. According to Ann Arbor, most of the patients were IE patients. Four cases were derived from B cells and belonged to mucosa-associated lymphoma; one case was derived from T cells. No relapse or death occurred after comprehensive treatment with surgery, chemotherapy, or radiotherapy. Conclusion: The majority of cervical primary malignant lymphomas belong to mucosa-associated lymphoma and have a good prognosis.