原发性胃淋巴瘤56例临床病理分析  

Diagnosis and treatment of primary gastric lymphoma:a report of 56 cases

作　　者：李彦良[1] 孙现军[1] 宋希林[1] 于建勇[1] 刘凯[1] 程序瑞[1] 马恒[1] 

机构地区：[1]山东省肿瘤医院普外科,山东济南250117

出　　处：《中华肿瘤防治杂志》2009年第21期1683-1685,共3页Chinese Journal of Cancer Prevention and Treatment

摘　　要：目的:探讨提高原发性胃淋巴瘤的诊断与治疗方法。方法:回顾性分析56例原发性胃淋巴瘤患者的临床病理资料,对其诊断治疗结果进行分析。结果:术前误诊率为33.3%,手术切除率为97.2%。手术加化疗5年生存率,低度恶性胃淋巴瘤为80.0%,高度恶性胃淋巴瘤为33.3%。结论:胃镜活检能有效降低胃原发性淋巴瘤的误诊率。针对原发灶部位、大小、病理分期不同,采用手术、化疗、放疗和生物治疗等多种治疗手段,制定个体化治疗方案,可以提高原发性胃淋巴瘤患者的生存率。OBJECTIVE：To explore the diagnosis and treatment of primary gastric lymphoma.METHODS：Fifty-six cases with primary gastric lymphoma were analyzed retrospectively.RESULTS：The preoperative misdiagnosis rate was 33.3% and resection rate was 97.2%.The 5-years survival rates were 80.0% in mild malignant lymphoma and 33.3% in high-grade lymphoma.CONCLUSION：Gastroscope biopsy can reduce the misdiagnosis rate.Formulating the individualized treatment according to primarily tumor location,size and patho-staging,and using operation,chemotherapy,radiotherapy and biotherapy can elevate the survival rate of primary gastric lymphoma.

关 键 词：胃肿瘤/诊断 淋巴瘤/诊断 胃镜检查 淋巴瘤/治疗 回顾性研究 

分 类 号：R735.2[医药卫生—肿瘤]