摘要
目的 提高原发胃肠道恶性淋巴瘤的诊断水平。方法 分析我院近 10 a收治的 86例原发性胃肠道恶性淋巴瘤的临床资料。结果 原发胃肠道恶性淋巴瘤临床表现以腹痛、体重下降、消化道出血、食欲减退、腹块和发热为主。病变分布胃 46例 ,小肠 10例 ,回盲部 13例 ,结肠 15例 ,直肠 2例 ,X线和内窥镜是主要的检查方法 ,B超、CT及血管造影有辅助诊断意义 ,内镜下超声是一新的有前景的方法 ,确诊依靠病理 ,普通活检阳性率不高 ,粘膜大活检有助于诊断。结论 原发性胃肠道淋巴瘤相对少见 ,临床表现及影像易与其他胃肠道疾病混淆 ,容易误诊。临床疑诊病例 ,应设法取病灶组织行病理检查 。
Objective To raise the diagnosis level of primary gastrointestinal malignant lymphoma.Methods The clinical data from 86 cases of gastrointestinal malignant lymphoma were analyzed.Results The main clinical presentations of primary gastrointestinal malignant lymphoma included abdominal pain (n=63,73.2%),loss of weight(n=58,67.4%),gastrointestinal bleeding(n=48,55.8%),lose appetite(n=37,43.2%),abdominal mass(n=34,39.5%),anemia(n=32,37.5%),fever(n=29,31.5%).Tumors located stomach (n=46,53.5%),small intestine (n=10, 11.6% ),ileocecal region (n=13,15.1%),colon (n=15,17.4%),rectum (n=2,2.3%).X ray and endoscope were the main examination,Bus and CT and angiography were used as supplementary means.The correct diagnosis were built depending on biopsy.But the positive rate of endoscopic biopsy were 27/46 (58.7%) and 17/25(68.0%) respectively.Biopsy specimen should be larger enough.Conclusions Primary gastrointestinal malignant lymphoma were uncommon relatively.Clinical presentation and morphology were confused with other gastrointestinal disease.Suspected patients should be taken biopsy repcated and gotten larger specimen for building correct diagnosis.
出处
《中国误诊学杂志》
CAS
2001年第5期643-645,共3页
Chinese Journal of Misdiagnostics
关键词
诊断
病理学
原发性胃肠道恶性淋巴瘤
stomach neoplasms/diagnosis
lymphoma/diagnosis
lymphoma/pathology
