摘要
目的 探讨胃原发性恶性淋巴瘤临床及内镜表现。方法 回顾性总结本院近十年来31例原发性胃恶性淋巴瘤的临床资料。结果 31例病人临床表现无特异性，上腹痛最常见，其次为上消化道出血等。胃镜表现：病变发生2个以上部位多见，其次为胃体、胃窦等，幽门螺杆菌（Hp）阳性检出率90．3％。结论 胃原发性恶性淋巴瘤临床表现无特异性；其镜下形态多种多样，其中累及2个以上部位者多见，病变范围较大。胃镜活检加免疫组化病理检查是诊断本病的重要手段，Hp感染与胃原发性恶性淋巴瘤的发生具有相关性。
Objective To investigate the clinical and endoscope features of patient with primary malignant gastric lymphoma. Methods The clinical data of 31 patient suffered from primary gastric malignant lymphoma during 10 years in our hospital were retrospectively analyzed. Results There was no specific clinical features of primary malignant gastric lymphoma. Epigastric pain was the most frequent symptom, and upper alimentary tract bleeding was also observed. Gastroscopy feature showed that tumors involving two or more parts of stomach were found in most patients. In addition, tumours were also found in gastric body and gastric antrum. The detection rate of H. pylori was 90.3%. Conclusions Primary malignant gastric lymphoma has no specific clinical features. However, it has various appearances under gastroscope. In most patients, the tumor involves more than 2 part of the stomach. Gastroscopic biopsy and immunohistochemistry is an important method to diagnose this disease. H. pylori infection is related to the oncogenesis of primary malignant gastric lymphoma.
出处
《世界肿瘤杂志》
2005年第4期286-287,共2页
Tumour Journal of the World
关键词
胃恶性淋巴瘤
胃镜
回顾性分析
gastric malignant lymphoma
gastroscopy
retrospective analysis
