Of oral and maxillofacial malignant lymphoma analysis of 37 cases of misdiagnosis.docVIP

 PAGE \* MERGEFORMAT 27 Of oral and maxillofacial malignant lymphoma analysis of 37 cases of misdiagnosis Keywords: malignant lymphoma of oral and maxillofacial Misdiagnosis Malignant lymphoma (Malignant Lymphoma, ML) in the low incidence of oral and maxillofacial region, the complex clinical manifestations, early error-prone, missed diagnosis. By recalling the Second Affiliated Hospital, Zhejiang University, Oral and Maxillofacial Surgery from February 2002 to April 2007 were treated 37 cases of oral and maxillofacial ML medical information, patients were diagnosed by pathological examination, the report is as follows. A clinical data 1.1 General Information 37 patients in the male 21 and female 16 cases; male to female ratio 1.31:1, age 8 to 82 years, median 55 years old, “40-year-old in 5 cases,” 40-year-old, 32 cases in which a high incidence age of 50 to 60 years old and 60 ~ 70-year-old all 9 cases. The patients in urban and rural areas there was no significant difference (19/18). From the onset to treatment time interval 10d ~ 48 months, with a median 2 months, of which “6-month treatment of 33 cases. This group of patients were newly diagnosed, pathologically confirmed. 1.2 initial symptoms and location of To rapidly increase the mass, with or without pain in majority, 26 cases, diffuse swelling of the 8 cases, palate mass, ulceration, perforation in 3 patients with fever clinic. Starting position submandibular, submental, and the Department of the seven cases of maxillary, palate, 6 cases of parotid gland and the base of the tongue in 5 cases, the Ministry of the neck in 4 cases, 2 cases of cheek, gums, in 1 case. 1.3 Laboratory tests The lack of specificity. The patients 16 cases of lactate dehydrogenase (LDH) increase, in which T / NK-cell lymphoma in 7 cases (7 / 9), B-cell lymphoma, 9 cases (9 / 27), clinical stage Ⅰ Ⅱ stage 8 ( 8 / 23), Ⅲ Ⅳ stage period of 8 cases (8 / 14). Some patient