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恶性淋巴瘤原发于脾脏者少见,文献中多为个案报道,作者收集1957年以来国内文献,至今仅报告30余例,现将我科诊治的3例报道如下。 病例报告 例1 男,28岁,左上腹肿块伴发热、盗汗、消瘦3月余。查体一般情况尚好,全身浅表淋巴结不肿大,脾大肋下8cm,质硬,表面光滑,边缘钝。超声波检查示脾大,肋下8cm,以脾亢收住院。1981年3月5日行脾切除,术中见脾大22×14×9cm,肝门区有散在肿大淋巴结,同时行肝门区淋巴结活检。病理
Malignant lymphoma in the spleen are rare in the literature mostly case reports, the author collected since 1957 domestic literature, so far only reported more than 30 cases, now my department of diagnosis and treatment of 3 cases are reported as follows. Case report 1 male, 28 years old, left upper quadrant with fever, night sweats, weight loss more than 3 months. Physical examination is generally good, systemic superficial lymph nodes are not enlarged, splenic ribs 8cm, hard, smooth, blunt edge. Ultrasound showed splenomegaly, ribs 8cm, admitted to the hospital with hypersplenism. March 5, 1981 splenectomy, intraoperative splenomegaly 22 × 14 × 9cm, hepatomegaly scattered lymph nodes, at the same time, hepatic portal lymph node biopsy. pathology