胃原发性恶性淋巴瘤的影像诊断

Imaging Diagnosis of Primary Gastric Malignant Lymphoma

目的提高胃原发性恶性淋巴瘤的影像诊断水平。方法回顾性分析32例手术及病理确诊为PGML的患者的影像资料及误诊情况。结果消化道造影和/或CT检查,2例确诊为PGML,21例误诊为其他病变,误诊率91.3%(21/23)。结论多种影像检查相结合及影像与临床结合是减少PGML误诊率,提高诊断符合率的有效措施。

Objective To improve imaging diagnostic level of primary gastric malignant lymphoma （PGML）. Methods Imaging data and misdiagnose were reviewed retrospectively about pathology manifestations and operative results of thirty-two patients with PGML. Results Only 2 cases were diagnosed as PGML in 23 cases with the examination of X-ray barium meal and computed tomography（CT）, the misdiagnosis rate was 91.3 % （21of 23 cases）. Conclusion Imaging examination or combined imaging examination and clinical material are effective measures in reducing misdiagnosis rate and increasing diagnostic coincidence rate in PGML.