原发性乳腺淋巴瘤36例分析
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刘波

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Primary breast lymphoma: an analysis of 36 cases
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    摘要:

    目的:探讨原发性乳腺淋巴瘤(PBL)的临床病理特点。
    方法:回顾性分析36例PBL患者的临床资料。
    结果:36例PBL患者中,Ⅰa期 16例,Ⅱa期14例,Ⅱb期2例,Ⅳb期4例,患者均行手术治疗加化疗,其中20例加行放疗。33例(91.7%)随访3~193个月,随访期间死亡12例,其中死于脑转移2例,骨髓转移5例,肝、肺广泛转移5例。存活21例中,最长者192个月,总生存时间3~192个月,中位生存时间43.5个月。全组3年和5年生存率分别为70.1%和49.0%。
    结论:PBL中以B细胞型NHL常见,诊断主要依据术后的常规病理和免疫组化检查,一般采用手术、化疗及放疗等综合治疗。

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    Abstract:Objective:To explore the clinico-pathological characteristics of primary breast lymphoma(PBL).
    Methods :The clinical data of 36 cases of PBL were analyzed retrospectively.
    Results:Among the 36 cases of PBL,16 patients presented with stage Ⅰa disease, 14 patients with stage IIa disease,2 patients with stageⅡb disease, and 4 patients with stage Ⅳ. All of the patients underwent surgery and chemotherapy, and 20 cases had radiotherapy.
    Thirty three patients (91.7%) were followed up for 3-193 months, during which time, 12 patients died, including 2 patients died of brain metastases,five patients died of bone metastasis,and five patients died of diffuse hepatic and pulmonary metastasis. In the 21 surviving patients, the survival time was 3~192 months, and the median survival time was 43.5 months.The overall 3-and 5-year survival rate was 70.1% and 49.0%, respectively.
    Conclusions:Most PBL are NHL.PBL is diagnosed basically by methods of pathology and immunohistochemistry,and operation combined with chemotherapy and/or radiotherapy is the best treatment method.

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刘波, 唐中华, 易文君, 胡春宏.原发性乳腺淋巴瘤36例分析[J].中国普通外科杂志,2008,17(5):9-435.
DOI:10.7659/j. issn.1005-6947.2008.05.009

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  • 在线发布日期: 2008-05-25