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原发性胃淋巴瘤56例临床病理分析

Diagnosis and treatment of primary gastric lymphoma:a report of 56 cases

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【作者】 李彦良孙现军宋希林于建勇刘凯程序瑞马恒

【Author】 LI Yan-liang,SUN Xian-jun,SONG Xi-lin,YU Jian-yong,LIU Kai,CHENG Xu-rui,MA Heng Department of General Surgery,Shandong Tumor Hospital,Jinan 250117,P.R.China

【机构】 山东省肿瘤医院普外科

【摘要】 目的:探讨提高原发性胃淋巴瘤的诊断与治疗方法。方法:回顾性分析56例原发性胃淋巴瘤患者的临床病理资料,对其诊断治疗结果进行分析。结果:术前误诊率为33.3%,手术切除率为97.2%。手术加化疗5年生存率,低度恶性胃淋巴瘤为80.0%,高度恶性胃淋巴瘤为33.3%。结论:胃镜活检能有效降低胃原发性淋巴瘤的误诊率。针对原发灶部位、大小、病理分期不同,采用手术、化疗、放疗和生物治疗等多种治疗手段,制定个体化治疗方案,可以提高原发性胃淋巴瘤患者的生存率。

【Abstract】 OBJECTIVE:To explore the diagnosis and treatment of primary gastric lymphoma.METHODS:Fifty-six cases with primary gastric lymphoma were analyzed retrospectively.RESULTS:The preoperative misdiagnosis rate was 33.3% and resection rate was 97.2%.The 5-years survival rates were 80.0% in mild malignant lymphoma and 33.3% in high-grade lymphoma.CONCLUSION:Gastroscope biopsy can reduce the misdiagnosis rate.Formulating the individualized treatment according to primarily tumor location,size and patho-staging,and using operation,chemotherapy,radiotherapy and biotherapy can elevate the survival rate of primary gastric lymphoma.

  • 【文献出处】 中华肿瘤防治杂志 ,Chinese Journal of Cancer Prevention and Treatment , 编辑部邮箱 ,2009年21期
  • 【分类号】R735.2
  • 【被引频次】13
  • 【下载频次】141
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