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目的探讨原发性肺淋巴瘤(PPL)的临床特点,以提高早期诊断率,减少误诊率。方法原发性肺淋巴瘤7例,对其临床表现、影像学特点、病理分型、治疗及预后进行分析。结果PPL患者以咳嗽、痰血、胸痛为主要表现而就诊,也有部分患者无特殊不适主诉。影像学可表现为单发或多发的结节肿块影或实变。最终需通过胸腔镜、开胸或经皮肺穿刺获取病灶组织,结合病理及免疫组化确诊。预后与淋巴瘤的恶性程度有关。结论 PPL临床表现特异性差,容易误诊,有创病理活检对疾病的早期诊断具有重要意义。
Objective To investigate the clinical features of primary pulmonary lymphoma (PPL) in order to improve the early diagnosis rate and reduce the misdiagnosis rate. Methods Seven cases of primary pulmonary lymphoma were analyzed for their clinical manifestations, imaging characteristics, pathological classification, treatment and prognosis. Results PPL patients with cough, sputum blood, chest pain as the main performance of the treatment, there are some patients without complaint of particular discomfort. Imaging can be expressed as single or multiple nodular mass or solidification. The final need through thoracoscopy, thoracotomy or percutaneous lung access to lesions, combined with pathological and immunohistochemical diagnosis. Prognosis and the degree of malignancy of lymphoma. Conclusion PPL clinical manifestations of poor specificity, easy misdiagnosis, invasive pathological biopsy of early diagnosis of the disease is of great significance.