摘要
目的:通过1例长期误诊为炎性假瘤的淋巴瘤患者进行病历回顾分析,探讨淋巴瘤及和炎性假瘤临床异同点及鉴别方式,以避免临床误诊。方法:对1例误诊为炎性假瘤的淋巴瘤患者进行临床资料回顾性分析,并对国内已报道的这类病例进行文献复习和讨论。结果:本例的临床表现、治疗效果、CT表现类似于炎性假瘤,但初诊时眼眶无痛性肿块、多部位侵犯等临床特点不符。二者对激素治疗均有效,因此,仅对全身激素治疗有效也不应作为诊断本病的依据。最终通过病理学检查确定诊断为淋巴瘤。结论:炎性假瘤在临床和放射学上都类似恶性肿瘤,因此,对疑为炎性假瘤者,最好都作单纯组织学活检或切除性活检以证实诊断。
Objective： To detect difference between lymphoma and inflammatory pseudotumor by analysising a case with lymphoma who is misdiagnosed. Methods： We reviwed the disease history of a lymphoma patient who was misdiagnosed as inflammatory pseudotumor for long time and made a review of literatures. Results： The patient is similar to pseudotumor in clinical manifestation and good response to steroids, but was diagnosised as lymphoma by biopssy finaly. Conclusions： Pseudotumor and lymphoma must be differentiated by biopsy while not only by response to steroids.
出处
《新疆医科大学学报》
CAS
2009年第8期1081-1082,共2页
Journal of Xinjiang Medical University
关键词
淋巴瘤
炎性假瘤
lymphoma
inflammatory pseudotumor
