Elderly patients with primary extranodal non-Hodgkins lymphoma in 1 case of misdiagnosis.docVIP

 PAGE \* MERGEFORMAT 5 Elderly patients with primary extranodal non-Hodgkin’s lymphoma in 1 case of misdiagnosis Of: Chen Jianming Fang Ye Xingrong Wang Xiaoxiang [Keywords:] older primary extranodal non-Hodgkin’s lymphoma misdiagnosed Malignant lymphoma (malignant lymphoma, ML is a group originated in the lymphoid tissues of malignant disease, divided into non-Hodgkin’s lymphoma (NHL and Hodgkin lymphoma (HL two categories. NHL incidence rate is 6 times HL , and the NHL, the peak age of onset is in old age. more elderly patients because of underlying diseases, when the onset of lymphoma in extranodal lymphoid tissue, the clinical misdiagnosis rate of more high. I Section 1 case of elderly patients for up to Misdiagnosis 6 years. are as follows. 1 Case Report Male patient, aged 80, in September 2003 because of cough, sputum with right chest and back pain in a hospital in Shanghai, chest CT examination revealed: “right upper lobe of central lung cancer and lung metastasis, with lung door and mediastinal lymph node metastasis, right pleural effusion. “bronchoscopy did not see the cancer cell investigation. the hospital has given CE regimen improved symptoms in patients after 3 times, reviewing the chest CT said:” The right lung mass was significantly reduced, right lung pleural effusion dissipated. “After the patient was discharged in stable condition. After 4 years in patients with recurrent right pleural effusion. But none of several investigations pleural biopsy the tumor cells. transthoracic injection” mushroom polysaccharides and thrombin “and other drugs .2008 pleural effusion can be reduced after the June 4 increased again due to illness in my hospital admission, examination, see: anemia appearance, weight loss. the body and swollen superficial lymph nodes are not palpable. right lower lung percussion dullness, breath sounds low. lower left abdomen and a palpable 4cm × 4cm size, texture medium hardness, no activities, no tenderness of the