胃粘膜相关淋巴组织淋巴瘤的临床探讨  

Clinical analysis of gastric mucos-associated lymphoid tissue lymphoma

作　　者：郑洁[1] 姚忆蓉[1] 

机构地区：[1]上海市第一人民医院分院内科,200081

出　　处：《蚌埠医学院学报》2001年第6期477-478,共2页Journal of Bengbu Medical College

摘　　要：目的 :探讨胃粘膜相关淋巴组织 (MALT)淋巴瘤的病理特征、临床诊断和治疗。方法 :收集我院 1993～ 2 0 0 0年 6例胃MALT淋巴瘤 ,采用胃镜、病理组织学和免疫组化标记对其临床、病理资料和治疗进行分析。结果 :临床表现和辅助检查无明显特异性 ,以低度恶性淋巴瘤多见 ,免疫组化标记证实均为B细胞性淋巴瘤。经手术和化疗 ,患者均存活。结论 :提高对胃MALT淋巴瘤的认识 ,有助于明确诊断。治疗以手术为主 ,配合化疗或放疗。对幽门螺杆菌的治疗应引起足够的重视。Objective:To study the pathologic features,clinical diagnosis and treatment of gastric mucosa associated lymphoid tissue(MALT) lymphoma.Methods:Date of six cases of gastric MALT lymphoma in our hospital during 1993～2000 were collected and their clinical manifestations pathologic materials and treatment were analyzed by gastroscopy,pathology and immunohistochemistry.Results:No remarkable characteristics were found in clinical manifestations or supplementary examination of the gastric MALT lymphoma.More cases were of low grade MALT lymphoma.By immunohistochemistry,all were confirmed to be of B cell type MALT.All the patients survived after operation and drug therapy.Conclusions:Better knowledge of gastric MALT lymphoma is helpful to ascertain diagnosis.Operation is the main treatment accompanied by drug therapy or radiotherapy.Treatment of Helicobacter pylori (Hp) should be emphasized.

关 键 词：淋巴瘤 胃肿瘤 粘膜相关淋巴组织 诊断 治疗 

分 类 号：R733.4[医药卫生—肿瘤] R735.2[医药卫生—临床医学]