原发性大肠恶性淋巴瘤的临床分析(附16例报告)

A clinical analysis of primary large intestinal malignant lymphoma (a report of 16 Cases)

目的 探讨原发性大肠恶性淋巴瘤的诊断方法和疗效。方法 对16例原发性大肠恶性淋巴瘤进行回顾性分析。结果 临床表现缺乏特异性,16例患者在术前确诊仅有2例。手术治疗16例,5年生存率50％。结论 临床表现、钡餐检查、纤维内镜、活检和剖腹探查等综合分析,可提高对本病的诊断率。对本病应采用比大肠癌更为积极的治疗措施。

To study the diagnosis and treatment of primary large intestinal malignant lymphoma. Methods Sixteen patients with primary large intestinal malignant lymphomas were analyzed retrospectively. Results There were no typical clinical manifestation in all cases. In only two cases of them of the corrected diagnosis was obtained before operation. The five years survival rate was 50%. Conclusion A corrected diagnosis of this disease depends on the comprehensive judgement and analysis of clinical manifestation, experimental investigations and explore laparotomy. The more aggressive management should be given for patients with primary large intestinal malignant lymphoma.