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目的 探讨原发性胃恶性淋巴瘤的诊断及治疗。方法 分析本院 14年来收治的 2 5例经病理确诊的原发性胃恶性淋巴瘤临床资料、外科治疗情况及预后。结果 本组术前 GI和胃镜检查误诊率为 82 %和 6 5 % ,手术切除率为 92 % ,较同期胃癌手术切除率高 ,5年生存率为 6 4.0 %。结论 掌握本病临床表现特点 ,重视内镜检查 ,活检组织常规行免疫组化 ,能提高诊断率 ,治疗上应予以手术切除 ,术后辅助化疗 ,以提高生存率。
Objective To investigate the diagnosis and treatment of primary gastric malignant lymphoma. Methods The clinical data, surgical treatment and prognosis of 25 patients with pathologically diagnosed primary gastric malignant lymphoma treated in our hospital over the past 14 years were analyzed. Results The preoperative GI and gastroscopy misdiagnosis rate was 82% and 65%, surgical resection rate was 92%, compared with the same period gastric cancer resection rate, 5-year survival rate of 6 4.0%. Conclusion To grasp the clinical features of this disease, pay attention to endoscopy, biopsy routine immunohistochemistry, can improve the diagnostic rate, the treatment should be surgical resection, postoperative adjuvant chemotherapy to improve survival.