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胃原发性淋巴瘤临床诊断殊为困难,甚至在手术探查时也很难将癌与淋巴瘤区分开.即使是胃镜下咬检组织或大体组织切片亦会发生误诊.胃原发恶性淋巴瘤少见,多数作者统计占胃恶性肿瘤的2～5%,国人统计有更低者,仅占胃恶性肿瘤的0.6%.我院自1974年以来经治胃原发性恶性淋巴瘤10例,均有病理证实.除1例由纤维胃镜确诊外,其余9例术前均误诊为癌和溃疡恶变.
The clinical diagnosis of primary gastric lymphoma is very difficult. It is difficult to separate cancer from lymphoma even during surgical exploration. Even misdiagnosis of gastroscopy or gross tissue biopsy may occur. Gastric malignant lymphoma Rarely, most authors account for 2 to 5% of gastric malignancies, and Chinese people have lower statistics, accounting for only 0.6% of gastric malignancies. Our hospital has treated 10 cases of primary malignant lymphoma of the stomach since 1974. Pathologically confirmed. In addition to 1 case diagnosed by fiber endoscopy, the remaining 9 cases were misdiagnosed as cancer and ulceration before surgery.