摘要
目的对原发性胃恶性淋巴瘤的临床特点及内镜下表现进行回顾性分析以提高对该病诊治的认识。方法分析31例原发性胃恶性淋巴瘤患者的一般资料、临床表现、生化及病理结果内镜表现。结果本组病例中,全部患者均出现上腹部疼痛。检查血红蛋白为(102.90±26.95)g/L,血清白蛋白为(33.95±4.23)g/L,全部患者肝肾功能正常,除2例出现CA125升高外,其余肿瘤筛查指标均阴性。患者中只有17例经胃镜确诊,HP检测均阳性。全部病理结果均为B细胞非霍奇金淋巴瘤。结论原发性胃恶性淋巴瘤以胃肠道症状为主,肿瘤消耗症状不明显,肿瘤筛查指标敏感度低,HP感染率高,病理类型主要为B细胞非霍奇金淋巴瘤。
Objective] To review the clinical and endoscopic features of primary malignant lymphoma of stomach(PGML) and to improve its diagnosis and treatment. [Methods] The general conditions,clinical manifestations biochemical changes and pathological findings were assessed in 31 patients. [Results] In this group, all the patients had upper abdominal pain. Within laboratory examination, hemoglobin were (102.90±26.95) g/L, serum albumin were (33.95±4.23) g/L, all the hepatic and renal function were normal, all of the tumor screening index were negative except the elevation of CA125 in 2 cases. Only 17 cases were diagnosed by gastroscope while HP detecting was positive in all cases. All of the pathologic results were B cell non-hodgkin′s lymphoma. [Conclusions] The gastrointestinal symptom is the main clinical presentation of primary malignant lymphoma of stomach and tumor consumption symptom is not obvious, with low sensitivity of tumor screening index and high infection of HP. The main pathologic type is B cell non-hodgkin′s lymphoma.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第5期544-546,共3页
China Journal of Endoscopy
关键词
胃淋巴瘤
内镜
诊断
病理学
幽门螺旋杆菌
lymphoma of stomach
endoscopic
diagnosis
pathology
helicobacter pylori
