目的观察生殖系统原发性非霍奇金淋巴瘤的临床病理表现及免疫表型,并分析其与预后的关系。方法回顾性分析43例女性生殖系统原发性非霍奇金淋巴瘤的临床病理资料,按WHO(2001年)关于淋巴造血组织肿瘤的分类标准进行病理类型的分类,采用免...目的观察生殖系统原发性非霍奇金淋巴瘤的临床病理表现及免疫表型,并分析其与预后的关系。方法回顾性分析43例女性生殖系统原发性非霍奇金淋巴瘤的临床病理资料,按WHO(2001年)关于淋巴造血组织肿瘤的分类标准进行病理类型的分类,采用免疫组化染色、原位杂交及 PCR 技术分别检测其免疫表型、EB 病毒感染及免疫球蛋白重链基因重排。采用 Cox 回归模型对生殖系统原发性非霍奇金淋巴瘤的预后进行多因素分析。结果 (1)原发灶部位:卵巢24例,子宫内膜3例,宫颈10例,阴道2例,外阴4例;(2)临床分期:Ⅰ期12例,Ⅱ期9例,Ⅲ期22例;(3)病理类型:经病理活检、免疫组化、原位杂交及 PCR 技术检测结果显示,弥漫性大 B 细胞淋巴瘤37例(86%),伯基特淋巴瘤和非特指外周 T 细胞淋巴瘤各3例;(4)预后分析:乳酸脱氢酶水平增高、临床Ⅲ期、弥漫性大 B 细胞淋巴瘤及单纯手术治疗患者的生存率明显低于乳酸脱氢酶水平正常、临床Ⅰ和Ⅱ期、伯基特淋巴瘤和非特指外周 T 细胞淋巴瘤、手术+化疗和手术+放化疗者(P<0.05)。Cox回归模型多因素分析显示,乳酸脱氢酶水平、临床分期、病理类型及治疗方案均为影响原发性非霍奇金淋巴瘤患者预后的独立因素(P<0.05)。结论病理活检、免疫组化、原位杂交及 PCR 技术检测对生殖系统原发性非霍奇金淋巴瘤的诊断和鉴别诊断具有重要作用。乳酸脱氢酶水平、临床分期、病理类型及治疗方案均为女性生殖系统原发性非霍奇金淋巴瘤的独立预后因素。展开更多
Lymphomas represent common hematological malignancies with increasing incidence in recent years.The major site of extranodal non-Hodgkin lymphoma is the gastrointestinal tract.Involvement of the large intestine is rar...Lymphomas represent common hematological malignancies with increasing incidence in recent years.The major site of extranodal non-Hodgkin lymphoma is the gastrointestinal tract.Involvement of the large intestine is rare in comparison to the stomach or small bowel.The disease appears later in life,predominantly in the male population.Complaints are nonspecific,requiring a high index of suspicion in order to establish the diagnosis.The treatment varies from chemotherapy alone to multimodal therapies combining surgery,chemotherapy and radiotherapy.The small number of patients with various histological subtypes and different stage at presentation results in unclear protocol for the treatment of primary colorectal lymphoma.The purpose of this paper is to review current data on primary lymphoma of the colon and rectum while analyzing reported case series and published material on the subject.展开更多
文摘目的观察生殖系统原发性非霍奇金淋巴瘤的临床病理表现及免疫表型,并分析其与预后的关系。方法回顾性分析43例女性生殖系统原发性非霍奇金淋巴瘤的临床病理资料,按WHO(2001年)关于淋巴造血组织肿瘤的分类标准进行病理类型的分类,采用免疫组化染色、原位杂交及 PCR 技术分别检测其免疫表型、EB 病毒感染及免疫球蛋白重链基因重排。采用 Cox 回归模型对生殖系统原发性非霍奇金淋巴瘤的预后进行多因素分析。结果 (1)原发灶部位:卵巢24例,子宫内膜3例,宫颈10例,阴道2例,外阴4例;(2)临床分期:Ⅰ期12例,Ⅱ期9例,Ⅲ期22例;(3)病理类型:经病理活检、免疫组化、原位杂交及 PCR 技术检测结果显示,弥漫性大 B 细胞淋巴瘤37例(86%),伯基特淋巴瘤和非特指外周 T 细胞淋巴瘤各3例;(4)预后分析:乳酸脱氢酶水平增高、临床Ⅲ期、弥漫性大 B 细胞淋巴瘤及单纯手术治疗患者的生存率明显低于乳酸脱氢酶水平正常、临床Ⅰ和Ⅱ期、伯基特淋巴瘤和非特指外周 T 细胞淋巴瘤、手术+化疗和手术+放化疗者(P<0.05)。Cox回归模型多因素分析显示,乳酸脱氢酶水平、临床分期、病理类型及治疗方案均为影响原发性非霍奇金淋巴瘤患者预后的独立因素(P<0.05)。结论病理活检、免疫组化、原位杂交及 PCR 技术检测对生殖系统原发性非霍奇金淋巴瘤的诊断和鉴别诊断具有重要作用。乳酸脱氢酶水平、临床分期、病理类型及治疗方案均为女性生殖系统原发性非霍奇金淋巴瘤的独立预后因素。
文摘Lymphomas represent common hematological malignancies with increasing incidence in recent years.The major site of extranodal non-Hodgkin lymphoma is the gastrointestinal tract.Involvement of the large intestine is rare in comparison to the stomach or small bowel.The disease appears later in life,predominantly in the male population.Complaints are nonspecific,requiring a high index of suspicion in order to establish the diagnosis.The treatment varies from chemotherapy alone to multimodal therapies combining surgery,chemotherapy and radiotherapy.The small number of patients with various histological subtypes and different stage at presentation results in unclear protocol for the treatment of primary colorectal lymphoma.The purpose of this paper is to review current data on primary lymphoma of the colon and rectum while analyzing reported case series and published material on the subject.
