CAJ | 학술논문

淋巴瘤累及肺部在临床上较为常见，但以肺内病变为首诊的淋巴瘤，因其影像学表现缺乏特征性，易误诊为肺炎、肺结节。该文报道了3例以肺内病变为首诊的淋巴瘤患者的诊断过程。3例中，1例表现为发热、咳嗽，另2例为体格检查发现肺部阴影；2例影像学检查示肺结节，1例示肺部感染。3例均通过肺活组织病理检查（活检）确诊。该文3例患者的诊断过程提示，累及肺部的淋巴瘤其临床症状及影像学可无特异性，确诊依赖活检，应引起临床重视。
림파류루급폐부재림상상교위상견，단이폐내병변위수진적림파류，인기영상학표현결핍특정성，역오진위폐염、폐결절。해문보도료3례이폐내병변위수진적림파류환자적진단과정。3례중，1례표현위발열、해수，령2례위체격검사발현폐부음영；2례영상학검사시폐결절，1례시폐부감염。3례균통과폐활조직병리검사（활검）학진。해문3례환자적진단과정제시，루급폐부적림파류기림상증상급영상학가무특이성，학진의뢰활검，응인기림상중시。
Pulmonary lymphoma is a relatively common in clinical practice.However,pulmonary lymphoma with lung lesions as the initial presentation lacks specific imaging characteristics.It is likely to mis-diagnose pulmonary lymphoma as pneumonia or pulmonary nodule.In this study,we reported 3 pulmonary lym-phoma cases with lung lesions as the initial presentation and described the diagnosis and treatment.Among them,one patient presented with fever and cough,and the other two were found with pulmonary shadows by physical examination.CT imaging detected pulmonary nodules in two cases and lung infection in another pa-tient.The final diagnosis of all three cases was confirmed by pulmonary biopsy.No specific clinical symptoms or imaging features were observed in patients with pulmonary lymphoma.The diagnosis of pulmonary lymphoma could be confirmed by pulmonary biopsy,which requires widespread attention from clinicians and physicians.