【摘要】 目的:总结胃原发性恶性淋巴瘤(PGL)的诊治经验。方法:回顾性分析17例经病理证实的原发性胃恶性淋巴瘤患者的诊治情况。结果:临床表现以上腹痛多见。16例行胃镜检查,有3例被误诊为胃癌或胃溃疡;14例行X线钡餐检查,仅4例诊断为PGL;病例均经手术治疗,其中根治性切除11例,在获得随访的14例中有3例存活超过5年。结论:胃镜检查时多部位深取材可提高本病的诊断率。PGL应以联合治疗为主,而外科手术是联合治疗中不能缺少的重要环节。更多还原

【Abstract】 Objective:To summarize the experience of diagnosis and treatment in primary gastric malignant lymphoma(PGL). Methods:Retrospective study of 17 PGL patients,who were proved by pathology was performed. Results:Among the clinical manifestations,the upper abdominal pain was common.3 of 16 cases(18.8%) were misdiagnosed as gastic cancer or gastic ulcer under gastroscopy;only 4 cases were diagnosed as PGL in 14 cases with the examination of X-ray barium meal. All cases underwent operation,among them 11 had been performed by radical operation. The survival period was over 5 years in 3 of 14 patients who had been followed up. Conclusion:The multiple sites of biopsy sampling from submucosal layer via gastroscope may improve diagnostic rate on PGL. Combinedmodality therapy should be a principal modality in the treatment of PGL,and surgery plays an important role on combined treatment.更多还原