CAJ | 학술논문

目的：探讨肾上腺原发性非霍奇金淋巴瘤（primary adrenal lymphoma，PAL）的临床特征、治疗方法及预后。方法回顾性分析2007年1月至2014年5月天津医科大学总医院泌尿外科收治的8例PAL的临床资料。结果6例行手术治疗，2例行肾上腺穿刺活检，8例病理均为非霍奇金淋巴瘤，其中B细胞型6例，T细胞型1例，NK细胞型1例。1例随访2年仍存活，其余7例生存期为2～9个月。结论 PAL临床罕见，影像学检查缺乏特异性。 PET-CT对诊断此病具有重要价值，本病预后差，以手术为主的综合治疗效果优于单一治疗。
목적：탐토신상선원발성비곽기금림파류（primary adrenal lymphoma，PAL）적림상특정、치료방법급예후。방법회고성분석2007년1월지2014년5월천진의과대학총의원비뇨외과수치적8례PAL적림상자료。결과6례행수술치료，2례행신상선천자활검，8례병리균위비곽기금림파류，기중B세포형6례，T세포형1례，NK세포형1례。1례수방2년잉존활，기여7례생존기위2～9개월。결론 PAL림상한견，영상학검사결핍특이성。 PET-CT대진단차병구유중요개치，본병예후차，이수술위주적종합치료효과우우단일치료。
Objective To investigate the clinical characteristics , treatment and prognosis of primary ad-renal lymphoma ( PAL) .Methods Clinical data of 8 cases of PAL admitted from Jan .2007 to May.2014 were analyzed retrospectively .Results Of all the cases , 6 patients underwent adrenalectomy , and 2 patients under-went adrenal biopsy .Pathology revealed all the 8 cases had non-hodgkin's lymphoma , 6 cases were B cell type , 1 case was T cell type , and 1 case was NK cell type .One case was followed up for 2 years and was still alive .The other 7 cases died 2 to 9 months after the treatment .Conclusions PAL is extremely rare which has no special imaging characteristics .PET-CT is of great value in diagnosis of the disease .The disease has a high malignant behavior and poor prognosis .The comprehensive therapy has better effects than single therapy .