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本文报告8例胃肠道嗜酸性肉芽肿,均为手术后病理确诊者,皆男性;年龄21—46岁,平均33岁;症状期3个月到31年。5例病灶在胃部(4例胃窦部)、3例在回肠末段(1例侵及回盲部和升结肠)。本组病例在手术中也误诊为其他疾病。本文着重介绍临床表现和手术所见。其中1例为首次术后9年复发,再次手术及病理证实为嗜酸性肉芽肿伴分化不良癌。本病与癌的关系有待进一步探讨。
This article reported 8 cases of eosinophilic granulomatosis of the gastrointestinal tract, all pathologically confirmed, all male; aged 21-46 years, mean 33 years; symptom period 3 months to 31 years. Five lesions were found in the stomach (4 antrums) and 3 in the terminal ileum (1 invaded and ileocecal and ascending colon). This group of patients was also misdiagnosed as other diseases during surgery. This article focuses on clinical manifestations and surgical findings. One of these cases was recurrent at 9 years after the first operation. Reoperation and pathology confirmed eosinophilic granuloma with poorly differentiated cancer. The relationship between the disease and cancer remains to be further explored.