原发性胃肠道恶性淋巴瘤49例误诊、漏诊分析  

Analysis on Misdiagnosis of Primary Malignant Lymphoma in Gastrointestinal Tract in 49 Patients

作　　者：马志祥[1] 刘安丽[1] 刘家恒[1] 张海燕[1] 陈鑫[1] 

机构地区：[1]河南省南阳医学高等专科学校,河南南阳473000

出　　处：《临床军医杂志》2007年第5期707-708,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨原发性胃肠恶性淋巴瘤漏诊和误诊的原因。方法将49例原发性胃肠恶性淋巴瘤分成胃组(17例)和肠道组(32例),对其临床及病理资料分别进行回顾分析。结果胃组术前只有1例确诊。肠道组术前仅2例疑为恶性淋巴瘤,其余46例均被误诊或漏诊。误诊或漏诊的主要原因为临床无特异性表现,X线缺乏特异性诊断依据,内镜取材困难,病理诊断易失误。结论临床、内镜、病理等科室的医生应加深对该病的认识,做好全面的辅助检查,取材尽量到位,提高病理诊断技术以减少误诊或漏诊。Objective To explore the causes of misdiagnosis for primary malignant lymphoma in gastrointestinal tract. Met.hods A total of 49 patients with primary malignant lymphoma in gastrointestinal tract were divided into gastric group （ n = 17 ） and intestinal group （ n = 32） , whose clinical and pathological data were retrospectively analyzed. Results In the gastric group, only one patient was confirmedly diagnosed with malignant lymphoma bcfore operation, and in the intestinal group only two patients were suspeccted ot malignant lymphoma. The other 46 patients＇ lymphomas were either misdiagnosed or omitted. The main causcs of misdiagnosis consisted of few clinic＇ally characteristic manifestations and X-ray indications, diiticulty in sampling via endoscope and wrong pathological diagnosis. Conclusion The clinical doctors and involved experts in endoscopy or pathology Should pay attention to the knowledge of primary malignant lymphoma in gastrointestinal tract.

关 键 词：原发性 胃肠 淋巴瘤 误诊 

分 类 号：R735.2[医药卫生—肿瘤]