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Medical Diagnosis 2022
以多浆膜腔积液为首发症状的淋巴瘤一例
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Abstract:
目的：探讨以多浆膜腔积液为首发症状的淋巴瘤的临床表现、影像学特征、病理特点及诊断治疗、预后等，以提高对该病的认识。方法：回顾总结了1例以多浆膜腔积液为首发症状的淋巴瘤的诊治过程。结果：淋巴瘤合并胸腔积液的原因，可因胸膜侵犯，亦可因淋巴管回流障碍。结论：首发为多浆膜腔积液的淋巴瘤较少见，临床表现不特异，容易误诊漏诊，应及时行穿刺检查、尽早进行病理诊断。
Objective: To investigate the clinical manifestations, imaging features, pathological features, diag-nosis, treatment and prognosis of lymphoma with multiple serous cavity effusion as the first symp-tom, so as to improve the understanding of the disease. Methods: The diagnosis and treatment of 1 case of lymphoma with multiple serous cavity effusion as the first symptom were reviewed. Results: The causes of lymphoma complicated with pleural effusion were pleural invasion and lymphatic re-flux obstruction. Conclusion: Lymphoma with multiple serous cavity effusion is rare, its clinical manifestation is not specific, and it is easy to be misdiagnosed and missed. Puncture examination should be carried out in time and pathological diagnosis should be made as soon as possible.
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