CAJ | 학술논문

目的探讨以盆腔包块为首发症状的妇科淋巴瘤的诊治方法和预后.方法回顾性分析9例以盆腔包块为首发症状后经手术证实为淋巴瘤患者的临床资料,诊断主要依靠手术病理.结果9例患者中均出现腹胀、腹痛症状,仅少数出现全身症状.CA125高于200 U/mL者4例,伴腹水7例,伴胸水1例,深部淋巴结肿大的有2例.生存时间为2~56个月.结论淋巴瘤以盆腔包块为首发症状就诊,易误诊为卵巢癌.
목적탐토이분강포괴위수발증상적부과림파류적진치방법화예후.방법회고성분석9례이분강포괴위수발증상후경수술증실위림파류환자적림상자료,진단주요의고수술병리.결과9례환자중균출현복창、복통증상,부소수출현전신증상.CA125고우200 U/mL자4례,반복수7례,반흉수1례,심부림파결종대적유2례.생존시간위2~56개월.결론림파류이분강포괴위수발증상취진,역오진위란소암.
@@@@Objective To investigate the diagnosis,treatment and prognosis of gynecological lymphoma with the first symptom of pelvic mass.Method A retrospective analysis on the clinical data from 9 cases of gynecological lymphoma that were diagnosed that the first symptom was pelvic mass and the diagnoses were confirmed by the pathological examination after the surgery .Results All of 9 patients showed abdominal distension ,abdominal pain,but only a few of them showed systemic symptoms .There were 4 cases whose CA125 levels were higher than 200 U/mL in four cases,7 cases complicated with ascites,1 case with pleural effusion and 2 cases with deep lymph node enlargement.The survival times were 2-56 months.Conclusion The lymphoma with the first symptom of pelvic mass may be often misdiagnosed as ovarian cancer .