31例胃粘膜黄色瘤临床、内镜及病理分析

Clinic,endoscopic and pathological analysis of the thirty-one cases of gastric xanthoma

本文报告３１例胃黄色瘤，占我院同期胃镜受检者１．０８％。男性１８例，女性１３例。年龄２８～７６岁，５０岁以上２１例。胃部并发病主要是慢性萎缩性胃炎（５１．６％）及慢性浅表性胃炎（２２．６％）。黄色瘤好发部位为胃窦（２１例），其次为胃体（８例）。病理检查见胃粘膜浅表固有层内聚集较多泡沫细胞，有不同程度的淋巴细胞浸润，伴肠上皮化生者２１例（６７．７％）。结果提示，胃黄色瘤为一良性病变，临床症状无特异性，发病与胃慢性炎症和肠上皮化生密切相关，预后良好。

cases of gastric xanthoma(1.08%)were collected from a total of 2876 patients examined endoscopically during the past 8 months.18 of the patients were male and 13 female.The age ranged from 28 to 76 years.The gastric xanthoma most often located in the area of corpus(21 cases),secondly in fundus(8 cases).The primary coexisted diseases were chronic atrophic gastritis(51.6%)and superficial gastritis(22.6%).The pathological feature of xanthoma was the abundance of lipid-laden hystiocytes in lamina propria, 21 of 31 cases were associated with intestinal metaplasia.Gastric xanthoma was a binign lesion, and might be secondary to chronic gastric mucosal injury and intestinal metaplasia.