CAJ | 학술논문

目的：探讨国人眼附属器淋巴瘤的临床病理特征。方法回顾性分析解放军八一医院全军肿瘤中心1990年1月至2013年12月收治的27例经病理组织学检查确诊为眼附属器淋巴瘤患者的临床及病理学特征。结果27例患者均为非霍奇金淋巴瘤，原发于眼部者25例，其他部位淋巴瘤累及眼部者2例。病理分型：NK／T细胞淋巴瘤2例；B细胞淋巴瘤25例，其中包括黏膜相关淋巴组织（ MALT）淋巴瘤13例，淋巴浆细胞性淋巴瘤（ LPL）4例，套细胞淋巴瘤（ MCL）3例，小淋巴细胞性淋巴瘤（SLL）2例，髓外浆细胞瘤（EMP）3例。13例既往诊断为小B细胞淋巴瘤，经免疫组织化学染色，确诊为MALT淋巴瘤8例、MCL 3例和SLL 2例。结论眼附属器淋巴瘤的病理诊断分类多样，明确诊断可以为患者治疗方案的选择和判断预后提供更合理的建议。
목적：탐토국인안부속기림파류적림상병리특정。방법회고성분석해방군팔일의원전군종류중심1990년1월지2013년12월수치적27례경병리조직학검사학진위안부속기림파류환자적림상급병이학특정。결과27례환자균위비곽기금림파류，원발우안부자25례，기타부위림파류루급안부자2례。병리분형：NK／T세포림파류2례；B세포림파류25례，기중포괄점막상관림파조직（ MALT）림파류13례，림파장세포성림파류（ LPL）4례，투세포림파류（ MCL）3례，소림파세포성림파류（SLL）2례，수외장세포류（EMP）3례。13례기왕진단위소B세포림파류，경면역조직화학염색，학진위MALT림파류8례、MCL 3례화SLL 2례。결론안부속기림파류적병리진단분류다양，명학진단가이위환자치료방안적선택화판단예후제공경합리적건의。
Objective To explore the clinical manifestations and pathological features of ocular adnexal lymphoma. Methods The clinical and pathological information of 27 patients diagnosed as ocular adnexal lymphoma in 81 Hospital of PLA by pathological examination from January 1990 to December 2013 were collected, and the pathological features of the disease were analyzed retrospec?tively. Results The lesions were limited to the orbital area in 25 cases and the rest 2 cases were secondary to the lymphoma of other organs. The pathological diagnosis in all the cases was non?Hodgkin?s lymphoma, of which T cell in 2 cases and B cell lymphoma in 25 cases including mucosa?associated lymphoid tissue( MALT) lymphoma 13 cases, lymphoplasmacytic lymphoma( LPL) 4 cases, mantle cell lymphoma(MCL) 3 cases,small lymphocytic lymphoma(SLL)2 cases,extramedullary plasmacytoma(EMP) 3 cases. There were 13 cases originally diagnozed as small B cell lymphoma. They were clearly diagnozed as 8 MALT lymphoma, 3 MCL and 2 SLL by im?munohistochemical staining. Conclusion Clear classification can provide more useful suggestions about the choice of treatment and prognosis for the patients.