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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。
Objective: To summarize the diagnosis and treatment of gastric primary malignant lymphoma (PGL). Methods: The diagnosis and treatment of 17 patients with pathologically confirmed primary gastric malignant lymphoma were retrospectively analyzed. Results: The clinical manifestations of abdominal pain more common. 16 cases of gastroscopy, 3 cases were misdiagnosed as gastric cancer or gastric ulcer; 14 cases of X-ray barium meal examination, only 4 cases diagnosed as PGL; the cases were treated by radical resection in 11 cases, at the follow-up 14 Three cases survived for more than 5 years. Conclusion: Gastroscopy multi-site deep drawing can improve the diagnosis of the disease. PGL should be the main combination therapy, and surgery is an indispensable joint treatment an important part.