作者单位： 313300 湖州，安吉县人民医院呼吸内科(何方李)；215000 苏州，苏州大学附属第一医院呼吸科(刘顺林)

    以肺内病变首诊的淋巴瘤三例

    何方李刘顺林

    【摘要】淋巴瘤累及肺部在临床上较为常见，但以肺内病变为首诊的淋巴瘤，因其影像学表现缺乏特征性，易误诊为肺炎、肺结节。该文报道了3例以肺内病变为首诊的淋巴瘤患者的诊断过程。3例中，1例表现为发热、咳嗽，另2例为体格检查发现肺部阴影；2例影像学检查示肺结节，1例示肺部感染。3例均通过肺活组织病理检查(活检)确诊。该文3例患者的诊断过程提示，累及肺部的淋巴瘤其临床症状及影像学可无特异性，确诊依赖活检，应引起临床重视。

    【关键词】肺内病变；淋巴瘤；肺结节

    DOI：10.3969/g.issn.0253-9802.2015.06.015

    通讯作者，刘顺林，E-mail：liusl.123@163.com

    收稿日期：(2014-12-06)

    Pulmonary lymphoma with lung lesions as the initial presentation: a report of 3 casesHeFangli，LiuShunlin.DepartmentofRespiratoryMedicine,AnjiCountyPeople’sHospital,Huzhou313300,China

    Correspondingauthor,LiuShunlin,E-mail:liusl.123@163.com

    Abstract【】Pulmonary lymphoma is a relatively common in clinical practice. However, pulmonary lymphoma with lung lesions as the initial presentation lacks specific imaging characteristics. It is likely to misdiagnose pulmonary lymphoma as pneumonia or pulmonary nodule. In this study, we reported 3 pulmonary lymphoma cases with lung lesions as the initial presentation and described the diagnosis and treatment. Among them, one patient presented with fever and cough, and the other two were found with pulmonary shadows by physical examination. CT imaging detected pulmonary nodules in two cases and lung infection in another patient. The final diagnosis of all three cases was confirmed by pulmonary biopsy. No specific clinical symptoms or imaging features were observed in patients with pulmonary lymphoma. The diagnosis of pulmonary lymphoma could be confirmed by pulmonary biopsy, which requires widespread attention from clinicians and physicians. ......