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目的:探讨肺部霍奇金淋巴瘤的临床及病理特点,减少误诊误治。方法:对所获军事医学科学院附属医院病理科诊断为肺部霍奇金淋巴瘤1例病例的临床及病理资料进行回顾性分析。结果:本例因间断咳血,胸部CT示:右肺上叶多发结节,考虑肺癌伴右肺门及纵隔淋巴结转移,给予放射治疗,患者因临床症状进一步加重,来我院诊治,行腹股沟淋巴结穿刺活检术,病理诊断示霍奇金淋巴瘤,经ABVD方案化疗6周期,肿块缩小。结论:肺部霍奇金淋巴瘤临床及病理类型不常见,易误诊为肺癌,应加强对肺部霍奇金淋巴瘤的临床及病理学特征的认识并仔细分析病情,以避免或减少误诊误治。
Objective: To investigate the clinical and pathological characteristics of lung Hodgkin’s lymphoma and to reduce misdiagnosis and mistreatment. Methods: The clinical and pathological data of one case of lung Hodgkin ’s lymphoma diagnosed by Department of Pathology, Affiliated Hospital of Academy of Military Medical Sciences were retrospectively analyzed. Results: The case of intermittent hemoptysis, chest CT showed: multiple nodules of the upper lobe of the right lung, consider lung cancer with right hilar and mediastinal lymph node metastases, given radiotherapy, patients with further aggravating clinical symptoms, to our hospital for diagnosis and treatment of groin Lymph node biopsy, pathological diagnosis showed Hodgkin’s lymphoma, chemotherapy cycle by ABVD 6 cycles, the tumor shrinks. Conclusion: The clinical and pathological types of lung Hodgkin ’s lymphoma are not common and may be misdiagnosed as lung cancer. The clinical and pathological features of lung Hodgkin’ s lymphoma should be strengthened and analyzed carefully to avoid or reduce misdiagnosis rule.