前言目的分析淋巴结外非霍奇金淋巴瘤(NHL)的临床表现特点及误诊原因。方法回顾性分析127例原发结外非霍奇金淋巴瘤的发病情况、原发部位分布情况、首发症状及误诊情况等。结果原发于结外的非霍奇金淋巴瘤127例,占同期非霍奇金淋巴瘤53.81%(127/236);原发部位前5位依次为:胃肠道21.26%(27/127),鼻腔18.9%(24/127),Waldeyer环14.96%(19/127),脾脏12.6%(16/127),皮肤6.3%(8/127);结外奇非霍金淋巴瘤误诊率为69.29%(88/127);结外非霍奇金淋巴瘤首发症状因原发部位不同而临床表现各异,无特异性。结论结外NHL发生率较高,其临床表现缺乏特异性,早期易误诊。
ObjectiveToobservethecharacteristicofclinicalmanifestationandanalyzethecauseofmisdiagnosisofprimaryextranodalnon-Hodgkinlymphoma(NHL).MethodsAll127casesofNHL,diagnosedwithpatholo-gicalexaminationinourhospitalfrom1997to2002,wereanalyzedtoinvestigatetheincidence,extranodalsite,clinicalcharacteristicsandmisdiagnosisofprimaryextranodalnon-Hodgkinlymphoma.ResultsAmong236patientsofNHL127cases(53.81%)werediagnosedasprimaryextranodalNHL;thedevelop...