摘要
目的:探讨胃黏膜相关淋巴组织(mucosaassociatedlymphoidtissue,MALT)淋巴瘤临床及内镜表现特征,以提高早期诊断水平.方法:总结22例经手术及病理证实的MALT淋巴瘤患者的临床及内镜表现资料.结果:临床表现以腹部不适及上消化道出血为主.病变多见于胃窦、体部,表现为隆起性、溃疡性及浸润性损害,以多灶性、多形性及弥漫性病变为特征.22例均为B细胞淋巴瘤,18例(81.8%)幽门螺杆菌(Hpylori)阳性.结论:胃MALT淋巴瘤临床表现无特异性,内镜下病变形态多样、范围广.内镜下多块、深挖取材结合及时免疫组织化学检查可提高内镜诊断准确率.
AIM： To investigate the clinical and endoscopic features of gastric mucosa associated lymphoid tissue （MALT） lymphoma, and to improve the accuracy of early diagnosis. METHODS： The clinical and endoscopic data of 22 patients, who were surgically and pathologically diagnosed with gastric MALT lymphoma, were retrospectively reviewed and analyzed. RESULTS： Most of the symptoms were exhibited as abdominal discomfort and upper gastrointestinal hemorrhage. Most of the pathological changes appeared in the gastric antrum and body in the form of bulgy, ulcerative and infiltrative lesions, featuring as multiform, multi-morphology, and diffuse changes under endoscope. All the 22 patients were diagnosed with B cell lymphoma, and Helicobacter pylori was founded in 18 cases （81.8%）. CONCLUSION： The clinical symptoms of gastric MALT lymphoma have no specificity. The endoscopic features are of variety, and the lesions are extensive. Clumpy and deep biopsy with timely immunohistochemistry can improve the accuracy of endoscopic diagnosis.
出处
《世界华人消化杂志》
CAS
北大核心
2005年第20期2504-2506,共3页
World Chinese Journal of Digestology
