原发性胃肠道非霍奇金淋巴瘤33例  

Primary gastrointestinal non-Hodgkin's lymphoma:Analysis of 33 cases

作　　者：张迎东[1] 许腾[1] 宋军[2] 徐为[2] 

机构地区：[1]徐州医学院研究生学院,江苏省徐州市221000 [2]徐州医学院附属医院胃肠外科,江苏省徐州市221000

出　　处：《世界华人消化杂志》2013年第35期4034-4036,共3页World Chinese Journal of Digestology

摘　　要：目的:探讨原发性胃肠道非霍奇金淋巴瘤(primary gastrointestinal non-Hodgkin's lymphoma,PGINHL)的诊断和外科治疗策略.方法:回顾分析我院经过外科治疗的33例PGINHL的临床资料.结果:33例患者中肿瘤位于胃者16例,小肠9例,阑尾1例,结肠7例.根治性切除切除26例,减瘤手术4例,行短路、活检等手术3例.病理类型均为非霍奇金淋巴瘤.围手术期死亡2例,26例获得随访,术后随访1年总体生存率为85%.结论:PGINHL的临床表现缺乏特异性,容易导致误诊,对于不能明确诊断及具备手术指征的患者应尽早手术治疗.AIM： To investigate the diagnosis and surgical treatment of primary gastrointestinal non-Hodg- kin＇s lymphoma （PGINHL）. METHODS： The clinical data for 33 patients with PGINHL were retrospectively reviewed. RESULTS： The tumor was mainly located in the stomach （n = 16）, small intestine （n = 9）, ap-pendix （n = 1） or the colon （n = 7）. All cases were pathologically confirmed to have non-Hodgkin＇ s lymphoma. All the patients were treated surgi-cally, containing radical excision in 26 cases, pal-liative resection in 4 cases, and intestinal short circuit anastomosis and biopsy in 3 cases. There were 2 deaths during the perioperative period. Twenty-two patients were followed and the 1-year survival rate was 85%.CONCLUSION： The lack of specific clinical manifestations in PGINHL easily leads to mis-diagnosis. When the diagnosis is not clear or the patient have surgical indications, surgery should be performed as soon as possible.

关 键 词：原发性胃肠道非霍奇金淋巴瘤 诊断 外科治疗 

分 类 号：R735[医药卫生—肿瘤]