Primary malignant lymphoma of the spleen on the diagnosis and treatment of.docVIP

 PAGE \* MERGEFORMAT 8 Primary malignant lymphoma of the spleen on the diagnosis and treatment of Keywords:] diagnosis and treatment of primary malignant lymphoma of the spleen The spleen is the body’s largest lymphoid organ, originating in some other parts of the malignant lymphoma involving the spleen, more than half, while the real primary in the spleen, malignant lymphoma is relatively rare, the incidence rate of less than 1% of the total number of malignant lymphoma. However, primary malignant lymphoma of the spleen is still the highest of primary malignant spleen, spleen cancer accounts for about 2 / 3 or more. splenic primary malignant lymphoma of the spleen means the primary in malignant lymphoid tissue neoplasms, diagnosis should be ruled out involvement of lymph nodes and other organs. derived from the lymph nodes and other organs of the malignant lymphoma involving the spleen does not belong to this category. splenic lymphoma staging method commonly used Ahmann: I entirely confined to the index tumor in the spleen, Ⅱ index splenic lymph nodes who have been involved, Ⅲ of the liver or distant lymph nodes that were involved. (A) Pathological Splenic lymphoma, the spleen is often increased, but increased the degree of disease progression. Spleen weight 100 ~ 4500g range, average 160g. Gross specimen can be divided into three types: ① diffuse large increase: increase of the spleen even without the naked eye visible nodules, ② miliary nodules: enlarged spleen, cut the size of 1 ~ 5mm scattered white nodules, shaped like a spleen, miliary tuberculosis, ③ nodules: the spleen was significantly increased, see section 2 ~ 10cm size nodules , part of the adjacent nodes can be fused into each other a huge mass. microscope at low magnification is often easy to overlook the small cell lymphoma in the early lesions, but on closer inspection found that almost every Malpighi bodies in the center of all by a diagnosis of the angular cells formed. Primary