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恶性淋巴瘤是原发于淋巴结和淋巴组织的恶性肿瘤,其临床表现半数以上为表浅淋巴结肿大,也有发生于扁桃腺、纵隔或腹腔淋巴结,少数病例则发生于淋巴结外的淋巴组织。本文所介绍的腹腔恶性淋巴瘤、胃肠道恶性淋巴瘤是属结外淋巴瘤,肠系膜、腹膜后淋巴瘤则属淋巴结内淋巴瘤,现就其诊断与治疗做一探讨。一、发病概况腹腔恶性淋巴瘤,临床上较为常见,国内资料报道占全身恶性淋巴瘤的16％,有的报道占17.5％。我院腹腔恶性淋巴瘤占全身恶性淋巴瘤的7.3％(33/452)。在消化道中,最常见的是肠道,其次是胃。食管和直肠恶性淋巴瘤罕见。国内有报告,肠道占40.2％,胃占2％,我院肠道淋巴瘤占1％,胃占0.6％。
Malignant lymphomas are malignant tumors that originate in lymph nodes and lymphoid tissues. More than half of the clinical manifestations are superficial lymph node enlargement, as well as in the tonsils, mediastinum, or abdominal lymph nodes. A few cases occur in lymphoid tissues outside the lymph nodes. This article describes the abdominal lymphoma, gastrointestinal lymphoma is a kind of extranodal lymphoma, mesentery, retroperitoneal lymphoma is lymph node lymphoma, now on its diagnosis and treatment to do a discussion. First, the incidence of peritoneal malignant lymphoma, clinically more common, domestic data reported that 16% of systemic malignant lymphoma, and some reports accounted for 17.5%. In our hospital, malignant lymphoma of the abdominal cavity accounted for 7.3% (33/452) of the total body malignant lymphoma. In the digestive tract, the most common is the intestine, followed by the stomach. Esophageal and rectal lymphomas are rare. There are domestic reports that the intestine accounts for 40.2%, and the stomach accounts for 2%. In our hospital, intestinal lymphoma accounts for 1%, and stomach accounts for 0.6%.