摘要
目的总结原发性胃恶性淋巴瘤(PGML)的诊治经验。方法回顾性分析了56例胃原发性恶性淋巴瘤的诊治情况。结果ⅠE期17例,ⅡE期26例,ⅢE期3例,Ⅳ期10例。术前X线确诊率45%,胃镜确诊率30%。ⅠE期、ⅡE期、ⅢE期和IV期的5年生存率分别为87.5%、84.0%、33.3%和11.1%。结论重视PGML的临床表现及X线检查特点,胃镜检查时多部位深取材可提高本病的诊断率。手术切除应为首选治疗,辅以放、化疗效果最佳。
Objective To summarize the experience of diagnosis and treatment of primary gastric malignant lymphoma（PGML）. Methods Fifty six cases with PGML were analyzed retrospectively. Results Of 56 patients, 17 belonged to stage ⅠE, 26 stage ⅡE, 3 stage ⅢE and 10 stage Ⅳ. The X-ray diagnosis rate was 45% before operation, while the rate by gastroscopy was 30%. The 5-year survival rates of stage ⅠE, ⅡE, ⅢE, and IV were 87. 5%, 84%, 33.3%and 11.1% respectively. Conclusion Clinical symptoms and their radiologic characters should be analyzed carefully. The multiple biopsy from submucosal layer via gastroscopy may improve diagnostic rate of PGML. Surgery with chemotherapy or radiotherapy is the best choice of treatment.
出处
《江苏医药》
CAS
CSCD
北大核心
2005年第12期899-900,共2页
Jiangsu Medical Journal
关键词
胃肿瘤
恶性淋巴瘤
Stomach neoplasms
Malignant lymphoma
