肝硬化合并以上消化道大出血为首发症状的胃弥漫大B细胞淋巴瘤一例  

The upper gastrointestinal hemorrhage as the initial symptom in gastric diffuse large B-cell lymphoma combined with liver cirrhosis: a case report

作　　者：徐佰国[1] 刘磊[1] 李隽[1] 尹伟利 王菲 杨言开[1] XU Bai-guo;LIU Lei;LI Jun;YIN Wei-li;WANG Fei;YANG Yan-kai(Department of Gastroenterology and Hepatology,Tianjin Third Central Hospita;Tianjin Institute of Hepatobiliary Disease,Tianjin Key Laboratory of Artificial Cell Artificial Cell Engineering Technology Research Center of Public Health Ministry,Tianjin 300170,China)

机构地区：[1]天津市第三中心医院天津市肝胆疾病研究所天津市人工细胞重点实验室卫生部人工细胞工程技术研究中心,300170

出　　处：《天津医药》2018年第6期651-653,共3页Tianjin Medical Journal

摘　　要：弥漫大B细胞淋巴瘤(DLBCL)是非霍奇金淋巴瘤(NHL)中发病率最高的一类弥漫生长的B细胞淋巴瘤。该病以进行性淋巴结肿大为最主要的临床表现,可结外发病,临床表现多样性,易被误诊。本文报告为以上消化道出血为首发症状,合并肝硬化,内镜表现为胃溃疡的胃DLBCL患者1例。期望通过对本病例分析以提高对DLBCL的认识和诊治水平。Diffuse large B-cell lymphoma （DLBCL） is the most prevalent type of diffuse B-cell lymphoma in non- hodgkin lymphoma （NHL）. The progressive enlarging lymphonodus is the most common clinical manifestation of this disease. DLBCL often appears heterogeneous presentations. It is easy to be misdiagnosed. Here, we reviewed a case of DLBCL with liver cirrhosis, in which the initial symptom was upper gastrointestinal hemorrhage, and the endoscopic examination showing gastric ulcer. We hope to improve the understanding and diagnosis and treatment levels of DLBCL by analyzing this case.

关 键 词：胃肿瘤 淋巴瘤 大B细胞 弥漫性 消化性溃疡出血 肝硬化 

分 类 号：R735.2[医药卫生—肿瘤]