以肺部病变首诊的弥漫性大B细胞淋巴瘤17例分析

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Abstract Objective To analyze and summarize the elinieal features of diffuse large B eell lymphoma（DLBCL），whieh was first diagnosed as pulmonary lesions，in order to improve the understanding of DLBCL.Methods A retrospeetive analysis was made of the elinieal data of 17 eases of DLBCL with pulmonary lesions first diagnosed in our hospital from May 2007 to August 2017，the elinieal eharaeteristies，laboratory examination，imaging eharaeteristies，misdiagnosis，pathologieal eharaeteristies，treatment and prognosis were analyzed and summarized.Results Among the 17 patients，the ratio of male to female was elose to 1：1，with an average age of（54.4±15.7）years.The main symptoms were eough，sputum，asthma and fever.Laetate dehydrogenase（LDH）and neuron speeifie enolase（NSE）were inereased in some patients.Thoraeie CT manifestations ineluded nodular，exudative，diffuse nodules，ground glass infiltration，ateleetasis and other pathologieal ehanges.All patients were eonfirmed by histopathology.Bronehoseopie mueosal biopsy was performed in 4 eases，CT-guided pereutaneous lung biopsy in 4 eases and lymph node biopsy in 9 eases.Conclusion The elinieal manifestations of DLBCL，whieh is the first manifestation of pulmonary lesions，are laek of speeifieity，and the imaging manifestations are diverse.It is neeessary to improve the pathologieal examination in order to faeilitate early treatment and improve the prognosis.

Key words： Diffuse large B eell lymphoma Imageology Diagnosis Treatment

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	ZHANG Xiang-e
	HUANG Song-ping
	YE Xiao-yi
	SHEN Bing-han

Cite this article:

ZHANG Xiang-e,HUANG Song-ping,YE Xiao-yi, et al. Analysis of 17 cases of diffuse large B cell lymphoma first diagnosed with pulmonary lesions[J]. 中国当代医药, 2019, 26(1): 48-51.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I1/48

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