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兹将本院1974～1987年内镜误诊而由手术确诊的原发性胃恶性淋巴瘤3例报告如下,以引起注意。 例1 陶某,女,49岁。上腹痛、腹胀1年半,加重伴黑便、左腹部包块7个月。查:营养中等,浅表淋巴结不大,腹软。肝脾未及,左上腹扪及5×10cm包块。X线气钡造影:胃体、窦部癌肿。内镜见胃体小弯前壁至胃角多处突起,表面溃疡,附污秽黄白苔,有新鲜渗血,胃腔狭窄,胃角消失,窦部阻塞。内镜
We hereby report three cases of endoscopically diagnosed primary gastric malignant lymphoma that were misdiagnosed from 1974 to 1987 in this hospital to pay attention. Example 1 Taomou, female, 49 years old. Upper abdominal pain, bloating for 1 year and a half, aggravated with melena, left abdominal mass for 7 months. Check: moderate nutrition, superficial lymph nodes, abdominal soft. Liver and spleen were not, left upper abdomen and 5 × 10cm mass. X-ray gas angiography: gastric body, sinus cancer. The endoscope showed that the anterior wall of the small curvature of the stomach body protruded to many corners of the stomach, with surface ulcers, yellow whitish moss, fresh bleeding, narrow stomach cavity, disappearance of the gastric antrum, and obstruction of the antrum. Endoscopy