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目的:探讨原发性膀胱非霍奇金淋巴瘤(NHL)的病因、病理、临床表现、诊断与治疗及预后。方法:回顾性分析我院收治的1例原发性膀胱NHL患者的临床资料,并结合文献进行探讨。结果:患者以肉眼血尿为主要症状,行手术切除,病理及免疫组织化学证实为NHL,术后辅助以化疗及放疗。结论:原发性膀胱NHL十分罕见,高度恶性,以肉眼血尿为最常见的临床症状,FDG-PET及CT对诊断有一定作用,确诊需要病理及免疫组织化学检查,治疗主要以手术切除并辅助术后放疗、化疗,并需定期复查,预后差。
Objective: To investigate the etiology, pathology, clinical manifestation, diagnosis, treatment and prognosis of primary non-Hodgkin’s lymphoma (NHL). Methods: A retrospective analysis of 1 case of primary bladder NHL patients admitted to our hospital clinical data, and literature review. Results: Patients with gross hematuria as the main symptom, surgical resection, pathology and immunohistochemistry confirmed as NHL, postoperative adjuvant chemotherapy and radiotherapy. Conclusions: Primary bladder NHL is very rare and highly malignant. It is the most common clinical symptom with gross hematuria. FDG-PET and CT have certain effect on diagnosis. Pathological and immunohistochemical examination are needed for the diagnosis. The main surgical resection and auxiliary Postoperative radiotherapy and chemotherapy, and regular review, the prognosis is poor.