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目的:血管内恶性淋巴瘤病是系统性播散的高级别的非霍奇金淋巴瘤。本文着重临床病理分析,结合影像学改变,复习文献,以期提高对本病的认识。方法:收集2例均为华山医院手术标本,经常规组织学和免疫组织化学染色证实。结果:中老年起病,临床症状差异大,病理以小血管内聚集大量淋巴样肿瘤细胞为特征,同时出现管腔内纤维性血栓和血管炎。结论:大多由尸检确诊。预后较差。
PURPOSE: Vascular malignant lymphoma is a systemic, high-grade non-Hodgkin’s lymphoma. This article focuses on clinical and pathological analysis, combined with imaging changes, review the literature, with a view to raising awareness of the disease. Methods: Two cases were collected from Huashan Hospital and confirmed by routine histology and immunohistochemical staining. Results: The onset of middle-aged and elderly patients was characterized by large differences in clinical symptoms. The pathology was characterized by the accumulation of a large number of lymphoid tumor cells in the small blood vessels with fibrovascular thrombus and vasculitis in the lumen. Conclusion: Mostly confirmed by autopsy. Poor prognosis.