Wang P Y, Gao Y F, Tong W X, Zhang Y H, Jia L, Yang R
208th Hospital, PLA, Changchun.
Zhonghua Zhong Liu Za Zhi. 1987 Nov;9(6):439-41.
A series of 50 patients with malignant lymphoma, proven by biopsy, was retrospectively studied. 39 were non-Hodgkin's lymphoma and 11 Hodgkin's disease. 45 (90%) had been misdiagnosed because of lack of initial specific symptoms. It is suggested that for patients with a painless progressively enlarging superficial lymph node without adhering to its surrounding tissues and irresponsive to general management, having irregular fever, bloody stool, abdominal pain or mass, complication of partial intestinal obstruction, sharp vigilance be kept for the possibility of malignant lymphoma.
对经活检证实的50例恶性淋巴瘤患者进行了回顾性研究。其中39例为非霍奇金淋巴瘤,11例为霍奇金病。45例(90%)因缺乏初始特异性症状而被误诊。建议对于有无痛性进行性增大的浅表淋巴结、不与周围组织粘连且对一般治疗无反应、伴有不规则发热、便血、腹痛或肿块、部分肠梗阻并发症的患者,应高度警惕恶性淋巴瘤的可能性。