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本文分析了14例胃恶性淋巴瘤(11例非何杰金氏恶性淋巴瘤,3例何杰金氏病)的临床表现、钡餐及胃镜与病理特征的关系。本病早期在胃粘膜下层浸润生长,故可出现粗大的粘膜皱襞或粘膜下隆起病变;其平行于胃壁生长的倾向致肿块生长很大而少出现梗阻出血等症状,周围粘连发生亦晚;倾向于多中心生长使1/4以上病例表现为多个粘膜下结节;进展期可发生多形性溃疡,胃窦部者易侵犯十二指肠。其临床表现为腹疼、纳差、黑便
This paper analyzes the clinical manifestations, barium meal, and the relationship between gastroscopy and pathological features in 14 cases of gastric malignant lymphoma (11 cases of non-Hodgkin’s lymphoma, 3 cases of Hodgkin’s disease). The early stage of the disease is infiltrated and grown in the submucosa of the stomach, so thick mucosal folds or submucosal uplift can occur; its tendency to parallel to the growth of the stomach wall leads to large growth of the mass and less symptoms such as obstructive hemorrhage, and peripheral adhesions occur too late; Multicentric growth results in more than 1/4 of the cases manifested as multiple submucosal nodules; progressive polymorphic ulceration may occur, and the gastric antrum is susceptible to the duodenum. The clinical manifestations of abdominal pain, anorexia, black stool