CAJ | 학술논문

目的：观察眼附属器黏膜相关淋巴瘤的临床特点。方法报告1例双眼同时起病的眼附属器黏膜相关样淋巴组织（MALT）结外边缘区B细胞淋巴瘤（OAML）并骨髓侵犯一例，结合文献对该类型淋巴瘤病因、临床表现、免疫组化、分子生物学改变、治疗进行探讨。结果OAML大部分为局限性病变，单侧多见，晚期播散型少见。结论 OAML为惰性过程，相关至死率低，对于ⅠE可给予放疗，加用免疫化学治疗可降低复发，对于ⅣE期患者需全身化疗，总体预后良好。
목적：관찰안부속기점막상관림파류적림상특점。방법보고1례쌍안동시기병적안부속기점막상관양림파조직（MALT）결외변연구B세포림파류（OAML）병골수침범일례，결합문헌대해류형림파류병인、림상표현、면역조화、분자생물학개변、치료진행탐토。결과OAML대부분위국한성병변，단측다견，만기파산형소견。결론 OAML위타성과정，상관지사솔저，대우ⅠE가급여방료，가용면역화학치료가강저복발，대우ⅣE기환자수전신화료，총체예후량호。
Objective To observe the clinical features of mucosa-associated lymphoma in ocular adnexal. Methods Report a medical case of illness, in which MALT in ocular adnexal is affected by OAML, together with bone marrow involvement. Analysis is given with research reference, on the cause of this type of lymphoma, clinical symptom, immunohistochemistry, molecular biological changes, and its treatment. Results Most OAML are partial pathological changes, more often unilateral cases, seldom lateral period dissemination cases. Conclusions OAML is a process of inertia, with low death rate. Radiotherapy, plus immunochemotherapy, is suitable for IE cases, while whole body radiotherapy is for IVE cases.