Witte Biruta, Hürtgen Martin
Katholisches Klinikum Koblenz, Department of Thoracic Surgery, Koblenz, Germany.
Thorac Surg Sci. 2006 Feb 14;3:Doc01.
Four cases of thoracic lymphoma mimicking chest wall tumors are presented. As resection is not the treatment of first choice in lymphomas, pretherapeutical evaluation of chest wall tumors should include a thoroughly staging and a biopsy for histopathological diagnosis. Chest wall destruction due to an anterior mediastinal mass, or a chest wall tumor associated with mediastinal lymph node enlargement, could be suspicious of thoracic lymphoma. Lymphoma with chest wall involvement mostly turns out to be Hodgkin's disease or large B-cell lymphoma. Stage and histopathological diagnosis have major impact on treatment and prognosis. Therapy is chemotherapy or chemo-radiation.
本文报告了4例酷似胸壁肿瘤的胸段淋巴瘤病例。由于手术并非淋巴瘤的首选治疗方法，胸壁肿瘤的治疗前评估应包括全面分期和组织病理学诊断活检。前纵隔肿块导致的胸壁破坏，或与纵隔淋巴结肿大相关的胸壁肿瘤，可能提示胸段淋巴瘤。累及胸壁的淋巴瘤大多为霍奇金病或大B细胞淋巴瘤。分期和组织病理学诊断对治疗和预后有重大影响。治疗方法为化疗或放化疗。
