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胃肠道是结外淋巴瘤最常见的发病部位,绝大多数为非霍奇金淋巴瘤。近20年来原发胃肠道淋巴瘤(primary gastrointestinal lymphoma,PGIL)的诊断、分期和治疗等有了较大的进展。现今PGIL的治疗模式是以内科治疗为主的综合治疗,手术治疗一般不再作为主要治疗手段,而通常用于相关并发症如消化道出血、穿孔及梗阻等的治疗。临床医师须熟识PGIL治疗中外科治疗的指征和作用,避免给与病人不必要的手术治疗。
Gastrointestinal is the most common site of extranodal lymphoma incidence, the vast majority of non-Hodgkin’s lymphoma. Over the past 20 years, primary gastrointestinal lymphoma (primary gastrointestinal lymphoma, PGIL) diagnosis, staging and treatment have made great progress. Now PGIL treatment model is based on medical treatment-based comprehensive treatment, surgical treatment is generally no longer as the main treatment, but usually for the treatment of complications such as gastrointestinal bleeding, perforation and obstruction. Clinicians must be familiar with the indications and effects of surgical treatment of PGIL and avoid unnecessary surgical treatment of the patient.