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淋巴瘤是原发于淋巴结与其它器官中淋巴组织的恶性肿瘤,由淋巴组织细胞系统恶性增殖所引起。淋巴瘤可分为霍奇金病(Hodykin disease,HD)和非霍奇金淋巴瘤(non Hodykin lymphoma, NHL)两大类。在我国发生数为2～4/10万人口,死亡率占恶性肿瘤的第11位。,可发生于任何年龄,但以青壮年患者居多。临床以淋巴结肿大、发热为多见。HD首见症状常是无痛性的颈部或锁骨上的淋巴结肿大(占60％～80％),左多于右,其次是腋下淋巴结肿大;NHL也多以无痛性颈和锁骨上淋巴结肿大为首见表现,但较HD为少,分化不良性淋巴细胞易侵犯纵隔。而皮肤损害的特异性较差,故以皮肤损害(皮疹、瘙痒、粗糙、苔藓样变等)为首发症状者易被忽视,常被误诊。我院近几年收治6例,报告如下。
Lymphomas are malignant tumors that originate in the lymphoid tissues of lymph nodes and other organs and are caused by the malignant proliferation of lymphoid tissue cell systems. Lymphoma can be divided into two categories: Hodgkin disease (HD) and non-Hodgkin lymphoma (NHL). In China, the number of people is 2 to 4 per 100,000. Mortality accounts for 11th among malignant tumors. Can occur at any age, but mostly young and middle-aged patients. Clinical lymph nodes enlargement and fever are more common. HD first-episode symptoms are often painless neck or supraclavicular lymphadenopathy (60% to 80%), left more than right, followed by infrapatellar lymphadenopathy; NHL is also mostly painless neck and Supraclavicular lymph node enlargement was the first manifestation, but it was less than that of HD, and poorly differentiated lymphocytes were likely to invade the mediastinum. The specificity of skin lesions is poor, so skin lesions (rashes, pruritus, rough, moss-like changes, etc.) are often overlooked and often misdiagnosed. Our hospital has been treated in 6 cases in recent years. The report is as follows.