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目的探讨胸部恶性淋巴瘤何杰金氏病(HD)和非何杰金淋巴瘤(NHL)的X线特征及鉴别要点。方法回顾性分析66例有完整临床及病理资料的胸部恶性淋巴瘤(其中HD20例,NHL46例)的X线表现。重点观察肺门与纵隔淋巴结肿大、肺内及胸膜的改变,并与其相关病理资料对照。结果(1)48例出现肺门和/或纵隔淋巴结肿大表现,以NHL多见,呈单侧或非对称性肿大改变。HD则少见,且多呈双侧或对称性肿大改变。(2)HD常侵犯前纵隔和胸骨后组淋巴结,NHL则多侵犯后纵隔淋巴结组并致脊柱旁线增宽。(3)肺内改变多为间质性病变,以NHL多见,HD少见。(4)胸膜改变以NHL多见,HD少见。结论胸部HD和NHL的X线表现各有特征,仔细观察和分析这些特征,有利于二者的鉴别。
Objective To investigate the X-ray features and differential points of Hodgkin’s disease (HD) and non-Hodgkin’s lymphoma (NHL) in patients with thoracic malignant lymphoma. Methods The X-ray findings of 66 cases of thoracic malignant lymphoma (HD20 cases, NHL46 cases) with complete clinical and pathological data were retrospectively analyzed. Focus on hilar and mediastinal lymph nodes, lung and pleural changes, and with the relevant pathological data. Results (1) 48 cases of hilar and / or mediastinal lymph nodes appear to NHL more common, showed unilateral or asymmetric swelling change. HD is rare, and mostly double or symmetrical swelling change. (2) HD often violated the anterior mediastinal and posterior sternal lymph nodes, NHL is more violations of the posterior mediastinal lymph node group and widened to the paravertebral line. (3) mostly intrapulmonary changes of interstitial lesions, more common to NHL, HD rare. (4) Pleural changes to NHL more common, HD rare. Conclusions X-ray manifestations of HD and NHL in chest have their own characteristics. Careful observation and analysis of these features are helpful for their identification.