摘要
目的提高局限性胃淀粉样变病的诊断率。方法报告１例局限性胃淀粉样变病并复习有关文献，对其病因、发病机制、临床表现、诊断、治疗及预后进行分析。结果本例局限性胃淀粉样变病患者无家族史及慢性疾病史，全胃切除术后病理诊断为局限性胃淀粉样变病ＡＡ型，其他组织如食道、十二指肠、直肠、骨髓未见淀粉样物质沉淀。结论对于胃恶性肿瘤的鉴别诊断，应考虑本病的可能；为避免本病并发症的发生，应行切除手术。
Objective To improve the diagnostic rate of local amyloidosis of stomach. Method One case of local amyloidosis of stomach was reported and the literatures were reviewed on the etiopathology, clinical features, diagnosis, treatment and prognosis. Result The patient was negative for family history and other chronic disease. Total gastrectomy was taken and was eventually found to have localized amyloidosis of stomach and regional lymph nodes. The amyloidosis was found to be of AA amyloidosis. Multiple biopsy specimens taken from esophagus, duodenum, rectum and bone marrow showed no amyloid deposition. Conclusion Amyloidosis should be considered in the differential diagnosis of gastric tumors, and also should be removed by operation if complications are to be prevented.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1998年第7期415-416,I080,共3页
Chinese Journal of Surgery
