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颅内原发性恶性淋巴瘤临床报告较少,我院1992～1994年共收治5例,均经病理证实,占同期颅内肿瘤总数的0.78％,现报告如下。 临床资料 一、一般资料:5例中男3例,女2例。年龄33～68岁,平均53.6岁。病程12天～6月,平均2.5月。5例均颅内压增高,表现有头疼、呕吐、眼底水肿。2例轻偏瘫,2例有同向偏盲,2例共济失调,1例水平眼颤。一般查体均未发现浅部淋巴结肿大。1例患慢性支气管炎。 二、辅助检查:1.肝肾功能,周围血正常。周围血淋巴细胞0.10～0.32,平均0.19。2.CT检查:5例肿瘤部位,1例颞叶,2例颞枕叶,2例小脑半球。平扫CT5例均呈略高密度,注射对比剂后病灶明显增强,肿瘤边界尚清,呈圆形、类圆形,4例有周围组织水
Clinical reports of intracranial primary malignant lymphoma less, our hospital from 1992 to 1994 were treated in 5 cases were confirmed by pathology, accounting for the same period the total number of intracranial tumors 0.78%, are as follows. First, the general information: 5 males in 3 cases, 2 females. Age 33 to 68 years, mean 53.6 years. Duration of 12 days to 6 months, an average of 2.5 months. 5 cases were intracranial pressure increased, the performance of headache, vomiting, fundus edema. 2 cases of hemiparesis, 2 cases of same direction hemianopia, 2 cases of ataxia, 1 case of nystagmus. No general examination of the superficial lymph nodes. 1 case of chronic bronchitis. Second, the auxiliary examination: 1. Liver and kidney function, peripheral blood normal. Peripheral blood lymphocytes 0.10 ~ 0.32, an average of 0.19.2. CT examination: 5 cases of tumor sites, 1 case of temporal lobe, 2 cases of temporal occipital lobe, 2 cases of cerebellar hemispheres. Five cases of CT scan showed a slightly higher density, injection of contrast agent significantly enhanced the lesions, the tumor boundary is clear, round, round, 4 cases of surrounding tissue water