原发性胃肠恶性淋巴瘤48例临床诊断分析  

Clinical analysis and diagnosis of primary gastrointestinal malignant lymphoma in 43 patients

作　　者：宋法云 徐勤朴 

机构地区：[1]山东省郯城县人民医院肿瘤科,山东临沂276100

出　　处：《实用临床医药杂志》2012年第21期138-139,共2页Journal of Clinical Medicine in Practice

摘　　要：目的探讨原发性胃肠恶性淋巴瘤的进行诊断分析,以期提高早期诊断率。方法对本院收治的经病理证实的48例原发性胃肠恶性淋巴瘤患者的临床资料进行回顾性分析研究。结果胃肠恶性淋巴瘤临床表现以腹痛、消化道出血、体重下降、腹部肿块和发热为主,病理活检仍然是原发性胃肠恶性淋巴瘤的临床诊断标准,内镜下活检确诊率为63.1%,血管造影、B超、CT有辅助诊断意义。结论原发性胃肠恶性淋巴瘤早期诊断困难,可采取多种检查手段,尽量取病变组织行病理学检查,以明确诊断。Objective To investigate and improve the early diagnosis of primary gastroin- testinal malignant lymphoma. Methods The clinical data of 48 patients with primary gastrointestinal malignant lymphoma which were subsequently confirmed by pathology were retrospectively studied. Results The main clinical presentations of the gastrointestinal malignant lymphoma included abdominal pain, gastrointestinal bleeding, loss of weight, abdominal mass and fever. The gold stan- dard primary to the disease of clinical diagnostic was still the pathological biopsy. The diagnosis rate of endoscopic biopsy was 46.8 %. Angiographic, B ultramund and CT were used as supplementary diagnostic significance. Conclusion It is difficult to have early diagnosis primary gastrointestinal malignant lymphoma. In order to clear the diagnosis, we should take the diseased tissue for pathological examination to confirm the diagnosis.

关 键 词：原发性胃肠恶性淋巴瘤 诊断 病理学 

分 类 号：R733[医药卫生—肿瘤]