论文部分内容阅读
在恶性淋巴瘤剖腹分期的应用中,多数学者认为:若发现肝脏受累,脾脏几乎肯定存在何杰金氏病变。作者报导一例经剖腹证实脾无病变的何杰金氏病。病例报告女性、71岁,左锁骨上肿块,无全身症状。亦未见其他淋巴结或肝脾肿大。血常规、肝功能正常。左锁骨上淋巴结活检确诊为何杰金氏病结节硬化型。为分期进行了许多常规检查均无异常。剖腹分期:可见肝左叶有结节和包裹在胰周围巨大的腹膜后和主动脉旁淋巴结。施行脾(包括付脾)切除术并作多处肝和淋巴结活检。肝左叶边缘及其结节处活检符合何杰金氏病,肝右叶正常。腹
In the application of laparotomy for malignant lymphoma, most scholars believe that if the liver is found to be involved, the spleen is almost sure to have Hodgkin’s disease. The authors report a case of Hodgkin’s disease that was confirmed by laparotomy without splenic disease. Case report Female, 71 years old, left supraclavicular mass, no systemic symptoms. No other lymph nodes or hepatosplenomegaly were seen. Blood routine, normal liver function. Left supraclavicular lymph node biopsy confirmed why JK disease was sclerotic. There are no exceptions for many routine tests performed in phases. Caesarean staging: Visible left hepatic lobe with nodules and large retroperitoneal and paraaortic lymph nodes wrapped around the pancreas. Spleen (including spleen) resection was performed and multiple liver and lymph node biopsies were performed. Biopsy of the left hepatic lobe and its nodules was consistent with Hodgkin’s disease, and the right lobe of the liver was normal. belly