【摘要】 目的探讨原发性胃恶性淋巴瘤(PGML)的临床特点及诊治经验。方法对14例PGML患者的临床资料进行回顾性分析。结果PGML临床表现缺乏特异性,胃镜下表现多样化,内镜下多部位活检可提高诊断阳性率;幽门螺杆菌根除治疗可缓解胃黏膜相关组织淋巴瘤;手术联合CHOP方案化疗治疗弥漫性B细胞淋巴瘤(DL-BCL),可获较满意疗效。结论上腹部X线断层扫描结合病理组织活检有助于胃淋巴瘤的早期诊断;幽门螺杆菌根除治疗可缓解胃黏膜相关组织淋巴瘤,根据DLBCL不同临床分期制定相应治疗措施。更多还原

【Abstract】 Objective To explore the clinical features,diagnosis and treatment experience of the primary gastric malignant lymphoma(PGML).Methods The clinical data of 14 cases with PGML were analyzed retrospectively.Results PGML was lack of specified clinical presentation and characteristic manifestation of Upper GI endoscopy,multiple biopsies from gastroscope could improve diagnosis.The therapeutic effect of the eradication of HP to cure mucosa-associated lymphoid(MALT) and surgery combined chem to heal diffuse large B-cell lymphoma(DLBCL) were satisfactory.Conclusion To increase the knowledge of PGML,CT combined biopsies could make the diagnosis of PGML in the initial stage.The eradication of HP could relieve MALT,make varied therapy strategy for different stages patients of PGML may benefit more.更多还原