杨喜格①②, 杨锡贵①, 姜超③, 王馨媛①②. 山东地区520 例淋巴瘤临床病理特点分析[J]. 中国肿瘤临床, 2015, 42(8): 426-431. DOI: 10.3969/j.issn.1000-8179.20142079
引用本文: 杨喜格①②, 杨锡贵①, 姜超③, 王馨媛①②. 山东地区520 例淋巴瘤临床病理特点分析[J]. 中国肿瘤临床, 2015, 42(8): 426-431. DOI: 10.3969/j.issn.1000-8179.20142079
Xige YANG1, 2, Xigui YANG1, Chao JIANG3. Analysis of clinicopathologic characteristics of 520 patients with lymphoma in Shandong[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2015, 42(8): 426-431. DOI: 10.3969/j.issn.1000-8179.20142079
Citation: Xige YANG1, 2, Xigui YANG1, Chao JIANG3. Analysis of clinicopathologic characteristics of 520 patients with lymphoma in Shandong[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2015, 42(8): 426-431. DOI: 10.3969/j.issn.1000-8179.20142079

山东地区520 例淋巴瘤临床病理特点分析

Analysis of clinicopathologic characteristics of 520 patients with lymphoma in Shandong

  • 摘要: 目的:分析山东省地区近3 年淋巴瘤患者的病理类型及临床特点。方法:回顾性分析山东省肿瘤医院及山东省医学科学院附属医院2011年9 月至2014年9 月收治的520 例淋巴瘤患者资料,从性别、发病年龄、病理类型、发病部位等方面进行总结分析。结果:520 例淋巴瘤患者中,男女比例为1. 2 :1,中位年龄51岁,霍奇金淋巴瘤(HL)67例占12.9% ,非霍奇金淋巴(NHL )453 例占87.1% 。NHL 中75.9% 为B 细胞淋巴瘤,24.1% 为T/NK细胞淋巴瘤。HL以经典型霍奇金淋巴瘤结节硬化型为主,占52.2% ,年龄分布未见双峰性。NHL 最常见类型为弥漫大B 细胞淋巴瘤(DLBCL )占54.1% ,其构成比高于其他国家和地区(18% ~42.7%),男女比例为0. 9:1,发病年龄略早(中位年龄54岁)。 HL和NHL 发病部位均以颈部淋巴结多见,且NHL 结外起病多于结内起病。结论:520 例淋巴瘤以DLBCL 最常见,多数亚型以男性发病比例较高,但DLBCL 以女性发病率较高。结外淋巴瘤以鼻腔及胃肠道多见。

     

    Abstract: Objective: To analyze the pathologic types and clinical characteristics of lymphoma in Shandong, China. Methods: The clinical data of lymphoma patients admitted from September2011 to September 2014in Shandong Cancer Hospital and the Affiliat-ed Hospital of Shandong Academy of Medical Sciences were retrospectively analyzed. Data included age, sex, pathologic classification, and onset locus of lymphoma.Results:The clinical data of 520 lymphoma cases were collected. The ratio of male to female was 1.2:1, and the median age was51years old. Among these patients, 67cases ( 12.9% ) were Hodgkin's lymphoma (HL), whereas 453 cases (87.1% ) were non- Hodgkin's lymphoma (NHL). Among NHL cases,75.9% were B- cell NHL and24.1% were T/ natural killer- cell NHL. Nodular sclerosis classical Hodgkin's lymphoma was the most common pathologic type of HL, comprising 52.2%. The age of HL onset did not present twin peaks. In NHL, 245 cases ( 54.1% of NHL) were diffuse large B-cell lymphoma (DLBCL). The constituent ra-tio of DLBCL was higher than in other countries and regions ( 18% to 42.7%), in which the ratio of male to female was0.9:1, and the age of onset was slightly earlier (median age was 54years old). Lymph nodes in the cervical region were the most commonly involved in the disease, and NHL extranodal onset was frequently observed. Conclusion:Among the 520 cases of lymphoma, DLBCL is the most common subtype. Most subtypes show male predominance, but female predominance was observed for DLBCL. The commonly involved sites of extranodal lymphoma are the nasal cavity and gastrointestinal tract.

     

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