摘要
目的探讨原发性胃肠道恶性淋巴瘤的临床特征、诊断和治疗。方法对广东省普宁市人民医院1999年1月～2009年12月普外科所收治22例原发性胃肠道恶性淋巴瘤患者临床资料进行回顾性分析。结果本组22例中,男性13例,女性9例,所有患者均经手术或内窥镜病理活检证实为恶性淋巴瘤,病理均为非霍奇金淋巴瘤（NHL）。病灶位于胃14例,肠道8例。给予手术、放疗、化疗等综合治疗。本组随访19例,3年生存率52.6%（10/19）,5年生存率26.3%（5/19）。结论原发性胃肠道恶性淋巴瘤发病率低,临床表现复杂,易漏诊、误诊,应早期诊断,合理治疗。治疗以手术、化疗、放疗综合治疗效果良好。
Objective To explore the clinical characteristics,diagnosis and treatment of primary gastrointestinal malignant lymphoma.Methods From Jan 1999 to Dec 2009,the clinical data of 22 cases with primary gastrointestinal malignant lymphoma were analyzed retrospectively.Results Twenty-two patients（male 13,female 9）were diagnosed in all cases with primary gastrointestinal malignant lymphoma（non-Hodgkin lymphoma）by pathological examination after operation or endoscopic biopsy.The lesion located in stomach in 14 patients,intestinal tract in 8 patients.Comprehensive treatment was performed,including operation,radiotherapy and chemotherapy.Nineteen patients were followed up for 3～120 months.The survival rate was 52.6%（10 /19）after operation 3 years and 26.3%（5 /19） after operation 5 years.Conclusion The incidence of primary gastrointestinal malignant lymphoma is low.The clinical manifestation was complex.Therefore it was easy to be missed or misdiagnosed.Patients should be diagnosed in early stage and treated reasonably.Comprehensive treatment was attended with good results.
出处
《岭南现代临床外科》
2011年第2期121-122,共2页
Lingnan Modern Clinics in Surgery
关键词
胃肠道恶性淋巴瘤
诊断
治疗
Primary gastrointestinal malignant lymphoma
Diagnosis
Treatment
