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淋巴瘤的发病率较高,原发性胃恶性淋巴瘤(PGML)虽较少见,但为结节外型淋巴瘤中较常见的一种。该病早期发现甚少,甚至到中晚期亦易误诊。本文收集我院自1980年1月～1993年12月以来住院确诊的15例PGML患者资料,对其诊断经过作一分析,以供参考。1 诊断标准 全部病例均符合Dawson的诊断标准:(1)无浅表淋巴结肿大;(2)胸片无纵隔淋巴结肿大;(3)末梢血无幼稚或异常细胞;(4)肿瘤发生于胃或以淋巴管散播方式侵犯附近淋巴结;(5)肝、脾未侵犯。
The incidence of lymphoma is high, and primary gastric malignant lymphoma (PGML) is rare but it is one of the more common types of extranodal lymphoma. Early detection of the disease is very rare, even to the middle and late are often misdiagnosed. This article collected 15 cases of PGML patients diagnosed in our hospital from January 1980 to December 1993, and made an analysis of the diagnosis for reference. 1 Diagnostic criteria All cases met the diagnostic criteria of Dawson: (1) No superficial lymphadenopathy; (2) No mediastinal lymphadenopathy on chest radiograph; (3) No naive or abnormal cells on peripheral blood; (4) Tumor occurred Stomach or invade lymph nodes nearby invade nearby lymph nodes; (5) Liver and spleen do not invade.