He Xiaojin, Tian Cheng, Yang Dongmei, Xie Xinji, Liu Honggang
Department of Pathology, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2009 Oct;23(19):878-80.
To study the clinicopathologic characteristic of the primary extranodular non Hodgkin's lymphoma in head and neck.
Clinical manifestation and the characteristic of clinicopathology of 216 extranodular non-Hodgkin's lymphoma patients in head and neck were analyzed retrospectively.
The age of thirty-one to sixty and seventy-one to eighty years old were more common age range in the group of patients. Nasal cavity was the most commonly primary involved site (95 cases, 44.0%), secondly was tonsil (47 cases, 21.8%). The most common histologic subtype was NK/T cell lymphoma, which accounted for 49.5% (107 cases) of cases, secondly was diffuse large B cell lymphoma (DLBCL, 58 cases, 26.7%). The most common histologic subtype in different stach groups respectively is: NK/T cell lymphoma in nasal cavity (74 cases,77.9%), DLBCL in paranasal sinus (6 cases, 50.0%), DLBCL in tonsil (27 cases, 57.4%), NK/T cell lymphoma in nasopharynx (17 cases, 44.7%), and DLBCL in lingual root (5 cases, 45.4%).
We conclude that primary extranodular non-Hodgkin's lymphoma is common in head and neck patients. There is characteristic in age, primary involved site and histologic subtype, which is helpful to understand these characteristic for pathologic diagnosis.
研究头颈部原发性结外非霍奇金淋巴瘤的临床病理特征。
回顾性分析216例头颈部结外非霍奇金淋巴瘤患者的临床表现及临床病理特征。
患者年龄多集中在31至60岁以及71至80岁。鼻腔是最常见的原发受累部位(95例,44.0%),其次是扁桃体(47例,21.8%)。最常见的组织学亚型是NK/T细胞淋巴瘤,占病例的49.5%(107例),其次是弥漫大B细胞淋巴瘤(DLBCL,58例,26.7%)。不同部位最常见的组织学亚型分别为:鼻腔NK/T细胞淋巴瘤(74例,77.9%)、鼻窦DLBCL(6例,50.0%)、扁桃体DLBCL(27例,57.4%)、鼻咽NK/T细胞淋巴瘤(17例,44.7%)、舌根DLBCL(5例,45.4%)。
我们得出结论,原发性结外非霍奇金淋巴瘤在头颈部患者中较为常见。在年龄、原发受累部位及组织学亚型方面存在特征,了解这些特征有助于病理诊断。