当科における悪性リンパ腫の臨床的検討

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  • Clinical evaluation of malignant lymphomas managed in our department.

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The authors experienced and evaluated nine cases of non-Hodgkin's malignant lymphoma from 1981 to 1987. The results are as follows;<BR>1) The percentage occupied in the oral cancers was 8.6%.<BR>2) Seven patients were males and two were females. The age distribution showed biphasic pattern, two patients were under twenty and seven were above forty.<BR>3) In all cases, the chief complaints were swelling or tumor formation at the involved lesion.<BR>4) In six cases the lesion involved neck and/or submandibular lymphnodes and alveolar bone in four cases.<BR>5) There was no specific symptom of malignant lymphoma.<BR>6) In four cases the lesion was misdiagnosed as inflammatory diseases.<BR>7) Histopathological classification was applied according to the LSG classification. Only one case was follicular lymphoma and the others were diffuse. In the cases of diffuse lymphoma, five cases were large cell type and three were medium cell sized type.<BR>8) According to the Ann Arbor clinical staging, six cases were progressing stages.<BR>9) Both radiation and chemotherapy were performed in six cases. Now the authors consider that even in stage I cases adjuvant chemotherapy after radiation is necessary for preventing relapses.<BR>10) In the treatment procedure the most frequent complications were infectious diseases such as bronchitis and candidiasis.

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