摘要
本文报告原发性胃肠道恶性淋巴瘤32例.本组发病年龄轻,平均32.3岁,儿童、青壮年为主.好发部位顺序为回盲部、小肠、结肠、胃、十二指肠.绝大多数为非何杰金氏淋巴瘤(30/32).该病误诊率很高(78.1%).对年轻伴腹块,腹痛及全身症状明显患者要高度警惕本病.X线对比检查结合内镜观察,内镜多部位、深层活检加刷取病变细胞学检查,常规进行免疫组化染色;尽早剖腹探查能提高早期诊断率.手术切除原发肿癌辅以足够的化疗、放疗对预后有显著影响.
32 patients with primary malignant lymphoma located in the gastrointestinal tract are reported. The ages in this series were relatively young and the mean agewas 32. 3 years. Children and young adults were predominant. The predileeted locations were ileocecom, small intestine, colon, stomach and duodenum in order of decling freguency. Most patients had non -Hodgkins lymphome (30/32). The rate of mis-diagnosis was relatively high (78. 1%). Vigilance in diegnosis of this disease was shanpened in young men with abdominal pain,or abdominal mass associated with apparent systemic symotoms. Early diagnosis may be improved by:X-ray con-trast examination combined with endoscopy; endoscopy with deep biopsy with brush cytology; performed at various sites, routine im-munohisto chemistry tests and exploratory laparotomy. Significant improvement in prognosis could be achieved by resection of primary tumor and supplementary ohemo therapy and/or radio therapy.
