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假性淋巴瘤是淋巴组织的一种良性增生,临床和病理上酷似恶性淋巴瘤,较常见于胃,其病因不明,但慢性炎症或溃疡可能是其病因。本文作者报告1968~1983年间12例患者的诊治和随访结果。临床表现本组患者诊断时的平均年龄为47岁。症状多呈慢性,持续2年以上者占1/3。除1例外均有上腹痛或烧灼痛,抗酸剂可缓解部分患者的症状。9例体重减轻10~33磅。半数患者有消化道出血,其中1例需行紧急手术。此外,尚有恶心、呕吐和腹泻,仅1例有胃穿孔。体检和实验室检查都无助诊断。10
Pseudolymphoma is a kind of benign hyperplasia of lymphoid tissue. It resembles malignant lymphoma clinically and pathologically. It is more common in the stomach. Its cause is unknown, but chronic inflammation or ulcer may be the cause. The authors report the diagnosis, treatment, and follow-up of 12 patients from 1968 to 1983. Clinical manifestations The average age of the patients in this group was 47 years old. Symptoms are mostly chronic, accounting for 1/3 of those who continue for more than two years. Except for 1 exception, there are epigastric pain or burning pain. Antacids can relieve some patients’ symptoms. Nine patients lost 10 to 33 pounds. Half of the patients had gastrointestinal bleeding, and one of them required emergency surgery. In addition, there were nausea, vomiting and diarrhea, and only one case had gastric perforation. Physical examinations and laboratory tests do not help diagnose. 10