摘要
目的 :分析甲状腺原发恶性淋巴瘤的临床表现、诊断及治疗。方法 :回顾1975～1999年间收治的甲状腺淋巴瘤27例 ,分析其临床表现 ,病理分型、临床分期、治疗方案及预后。结果 :原发甲状腺淋巴瘤复发及死亡率,综合治疗者(5/24)低于单纯手术者(3/3) ;低度恶性(3/17)低于中高度恶性者(5/10) ;Ⅰ期 (1/16)低于Ⅱ期 (7/11) ;腺内者(3/19)低于侵出腺外者(5/8,P<0.05)。结论 :甲状腺淋巴瘤的预后与病理分型、临床分期及治疗方案密切相关 ;
Objective: To analyse the clinical manifestation, diagnosis, treatment and prognosis of primary thyroid lymphoma(PTL).Methods:27 cases of thyroid lymphoma, registered from 1975 to 1996,were reviewed.Results: Relapse and mortality of PTL treated with combined-modality approach (5/24) was lower than single-operation (3/3), low-grade (3/17) lower than high-grade (5/10),ⅠEA(1/16)lower than ⅡEA and ⅡEB(7/11), localized in gland (3/19) lower than extruded out of gland (5/8).Conclusion: The prognostic factors of PTL are associated with pathology type, clinical stage, and treatment approach; and the combined-modality treatment is the best approach.
出处
《天津医科大学学报》
2002年第4期481-484,共4页
Journal of Tianjin Medical University
