对21例病理证实的原发鼻腔恶性淋巴瘤进行回顾分析和部分手术切除病例术前X线检查和手术所见对照,该病临床少见,症状、局部检查缺乏特征性。X线检查特别是鼻、付鼻窦正位分层,可显示鼻腔肿物,副鼻窦受侵和骨壁破坏,但CT扫描效果更佳。骨破坏出现晚或轻微是该病的X线特点,可与癌鉴别。 21 cases of pathologically confirmed primary nasal malignant lymphoma were retrospectively analyzed and some cases of surgical resection of the preoperative X-ray examination and surgical see control, the disease is clinically rare, symptoms, local examination of the lack of characteristic. X-ray examination especially nose, paranasal sinuses stratification, can show nasal masses, paranasal sinus invasion and destruction of the bone wall, but the CT scan better. Late or minor bone destruction appears to be characteristic of the disease X-ray, with cancer identification.