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目的总结原发性胃恶性淋巴瘤的诊治经验。方法回顾性分析13例经病理证实的原发性胃恶性淋巴瘤的诊疗情况。结果临床表现以上腹胀痛、消化道出血、消瘦多见。13例均行胃镜检查,9例确诊,4例被误诊为胃癌或胃溃疡。12例行手术根治,术后辅以CH OP方案化疗。随访12例中,3例存活超过5年。结论重视原发性胃恶性淋巴瘤的临床表现,辅助检查首选胃镜及多部位、深取材的病理检查。治疗以手术为主,辅以化疗,对于晚期病人,则以化疗为主。
Objective To summarize the diagnosis and treatment of primary gastric malignant lymphoma. Methods Retrospective analysis of 13 cases of pathologically proven primary gastric malignant lymphoma diagnosis and treatment. Results The clinical manifestations of abdominal pain, upper gastrointestinal bleeding, weight loss more common. Thirteen patients underwent endoscopy, diagnosed in 9 cases, 4 cases were misdiagnosed as gastric cancer or gastric ulcer. Twelve patients underwent radical surgery and received postoperative chemotherapy with CHOP regimen. Of the 12 cases followed, 3 survived more than 5 years. Conclusion The importance of primary gastric malignant lymphoma clinical manifestations, auxiliary examination of the preferred gastroscopy and multi-site, deep drawn pathological examination. Surgery-based treatment, supplemented by chemotherapy, for advanced patients, the main chemotherapy.