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眼眶NK/T细胞淋巴瘤误诊2例分析并文献复习

Literature Review of Orbital Natural Killer/T-Cell Lymphoma and Two Cases Reports

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【作者】 陈烨钱筠崔晶魏立强刘复强

【Author】 CHEN Ye,QIAN Jun,CUI Jing,et al.(Department of Hematology,Beijing Tongren Hospital Affiliated Capital Medical University,Beijing 100730

【机构】 首都医科大学附属北京同仁医院血液科首都医科大学附属北京同仁医院血液科 北京100730北京100730

【摘要】 目的:综述眼眶NK/T细胞淋巴瘤的临床诊断、治疗及常见误诊原因。方法:结合文献和2例个案,对眼眶NK/T细胞的临床诊断、治疗及鉴别诊断进行分析。结果:眼眶NK/T细胞淋巴瘤是临床罕见的一类结外淋巴瘤,易误诊为眼结膜炎、眼非特异性炎症、眼眶周围软组织炎或蜂窝织炎。病理改变、免疫表型符合鼻型NK/T细胞淋巴瘤。结论:眼眶NK/T细胞淋巴瘤临床表现、免疫表型、影像学特征独特,容易误诊,临床进展快,死亡率高。

【Abstract】 objective:To analyze the clinical manifestation,diagnosis,mis-diagnostic reasons and treatment method of orbital NK/T cell lymphoma.Methods:The literature was reviewed and 2 patients with orbital NK/T cell lymphoma were collected.Then we analyzed the diagnosis,differential diagnosis and therapy of orbital N K/T cell lymphoma.Results:Orbital NK/T cell lymphoma was one kind of relatively rare,new reported extra-nodal lymphoma,which was usually mis-diagnosed as conjunctivitis,idiopathic orbital inflammation,periorbital area inflammation.The orbital NK/T cell lymphoma and nasal NK/T cell lymphoma shared similar stopathology,immunopathology.Conclusions:The orbital NK/T cell lymphoma shows distinctive cliniopathologic,immunophenotypic and characteristic CT or MRI manifestations.The patients are diagnosed difficultly in the early stage,presented highly aggressive clinic course and a very high lethality.

  • 【文献出处】 中国误诊学杂志 ,Chinese Journal of Misdiagnostics , 编辑部邮箱 ,2006年20期
  • 【分类号】R739.720.4
  • 【被引频次】2
  • 【下载频次】124
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