原发性胃恶性淋巴瘤的胃镜诊断  

Gastroscopic diagnosis of primary gastric malignant lymphoma

作　　者：王一鸣[1] 熊毅敏[1] 郑国荣[1] 许桦林[1] 

机构地区：[1]中国人民解放军武汉总医院消化内科,湖北武汉430070

出　　处：《中国内镜杂志》2006年第6期608-610,共3页China Journal of Endoscopy

摘　　要：目的总结分析原发性胃恶性淋巴瘤(PGML)胃镜下特征及诊断要点,以提高胃镜对该病的诊断率。方法对24例经病理确诊的PGML临床、胃镜及病理资料进行分析。结果该组PGML患者临床症状无特异性。胃镜下主要表现为溃疡型15例,肿块型7例,弥漫浸润型2例,病变累及胃体14例,胃窦10例,多部位者8例。术前胃镜活检确诊者19例(79%)。结论PGML胃镜下具有病变范围广、病灶多发、形态多样的特点。胃镜活检是确诊PGML的主要手段,提高对该病的警惕和认识,掌握胃镜下活检技巧,可提高胃镜对PGML的诊断率。[Objective] To study gastric gastroscopic features and main points of diagnosis of primary gastric malignant lymphoma（PGML）, and to improve its diagnostic efficiency. [Methods] The clinical and endoscopic and histopathologie data of 24 patients with PGML diagnosed pathologically were reviewed and analyzed. [Results] The clinical appearance of PGML were not peculiar. Its main gastroscopic appearance was ulcerative lesions in 15, nodose lesions in 7 and infiltrating lesions in 2 patients. The lesions originated from body of stomach in 14 cases, antrum in 10 and multifoeal lesions were found in 8 instances. Endoscopic biopsies were diagnostic in 19 patients （79%）. [Concllusion] Gastroscopic appearance of PGML were multiplicity and polymorphous and multifoeal lesions. Its diagnosis was mainly by the gastroscopy and biopsy. Heighten the awareness of PGML and improvement in the bioptic sampling technique can effectively improve the rate of confirmed diagnosis of PGML .

关 键 词：原发性胃恶性淋巴瘤 胃镜 诊断 

分 类 号：R735.2[医药卫生—肿瘤]