diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index b61698266..5902e2b2d 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -1747,7 +1747,7 @@ namespace IRaCIS.Application.Services
 
 
         /// <summary>
-        /// 提交表格问题答案  病灶
+        /// 提交表格问题答案  提交病灶
         /// </summary>
         /// <param name="inDto"></param>
         /// <returns></returns>
@@ -1892,6 +1892,31 @@ namespace IRaCIS.Application.Services
                         }
 
                     }
+                    break;
+                case CriterionType.Lugano2014:
+                   
+                        var targetTablequestionList = await _readingTableQuestionTrialRepository.Where(x => x.TrialCriterionId == taskinfo.TrialReadingCriterionId && x.ReadingQuestionTrial.LesionType == LesionType.TargetLesion).ToListAsync();
+
+                        var targetlymphQuestion = targetTablequestionList.Where(x => x.QuestionMark == QuestionMark.IsLymph).FirstOrDefault();
+
+                    // 判断是否存在淋巴结问题
+                    if (targetlymphQuestion != null)
+                    {
+                        // 判断是否为淋巴结
+                        if (inDto.QuestionId == targetTablequestionList[0].ReadingQuestionId && inDto.AnswerList.Any(x => x.TableQuestionId == targetlymphQuestion.Id && x.Answer.EqEnum(ReadingYesOrNo.Yes)))
+                        {
+                            if (await _readingTableQuestionAnswerRepository.CountAsync(x => x.VisitTaskId == inDto.VisitTaskId && x.TableQuestionId == targetlymphQuestion.Id && x.Answer == ReadingYesOrNo.Yes.GetEnumInt() && x.RowId != inDto.RowId) >= 2)
+                            {
+                                // 靶病灶只能添加两个淋巴结病灶
+                                throw new BusinessValidationFailedException(_localizer["ReadingImage_LuganoMaxTowTarget"]);
+                            }
+
+                        }
+                    }
+
+
+
+
                     break;
             }