Oura H, Watanabe Y, Sawada T, Handa M, Tomichi N
Department of Thoracic Surgery, Iwate Prefectural Central Hospital, Morioka, Japan.
Kyobu Geka. 2008 Aug;61(9):754-7.
In a retrospective review of all patients who admitted our hospital between January 1992 and December 2006, we identified 9 with anterior mediastinal malignant lymphoma. They represented 6.8% of the 133 patients with mediastinal tumor. Histology revealed 3 cases of primary mediastinal large B-cell lymphoma, 2 of Hodgkin lymphoma, 2 of precursor T-lymphoblastic lymphoma and 2 of thymic extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT) lymphoma. Careful attention should be paid to the relatively high incidence of malignant lymphoma in the anterior mediastinal tumors. It is highly important to differentiate of malignant lymphoma from other diseases that shape anterior mediastinal tumor to avoid unnecessary operation. Early and accurate diagnosis of these tumors is also important because some of these patients require immediate treatment by hematology specialists.
在对1992年1月至2006年12月期间我院收治的所有患者进行回顾性研究时，我们确定了9例前纵隔恶性淋巴瘤患者。他们占133例纵隔肿瘤患者的6.8%。组织学检查显示，有3例原发性纵隔大B细胞淋巴瘤，2例霍奇金淋巴瘤，2例前体T淋巴母细胞淋巴瘤，以及2例黏膜相关淋巴组织（MALT）淋巴瘤的胸腺结外边缘区B细胞淋巴瘤。应特别注意前纵隔肿瘤中恶性淋巴瘤的相对高发率。将恶性淋巴瘤与其他构成前纵隔肿瘤的疾病区分开来以避免不必要的手术非常重要。对这些肿瘤进行早期准确诊断也很重要，因为其中一些患者需要血液科专家立即进行治疗。
