胃原发性恶性淋巴瘤的内镜诊断探讨

Investigation on the Endoscopic Diagnosis of Primary Malignant Lymphoma of Stomach

本文分析了我院1991年3月至1995年8月经手术病理证实的16例胃恶性淋巴瘤的内镜下特点.内镜所见以溃疡型多见,共8例.病灶多为不规则巨大溃疡,呈放射状或地图状,形态各异.息肉样型5例,表现为息肉或结节样隆起.浸润型3例,呈广泛性浅表溃疡.术前胃镜确诊加疑诊共8例,术后组织学诊断均为非何杰金淋巴瘤.本病的治疗、预后与胃癌有较大差异,术前诊断十分重要.内镜检查是术前确诊本病的重要方法,加深内镜下表现特征的认识,对提高内镜确诊率从而提高本病的早期发现率和治愈率具有重要价值.

Endsocopic characteristics of 16 cases of patients with gastric primary malignant lymphoma confirmed by pathology were investigated. All cases of the patients were hospitalized from March, 1991 to August, 1995 in our hospital. Under the endoscope, S cases were ulcer type, which is more common in the group and most of them were irregular huge ulcer shaping like map or radiation, 5 cases were polypus type like polypus or nodal, 3 were invasive type, with diffuse shallow ulcer. 8 cases of the group were diagnosed as malignant lymphoma of stomach under endoscope before operation, and they were confirmed as Non-Hodgkin's lymphoma by histology after operation. Because malignant lymphoma is quite different in treatment and prognosis from gastric, it is very important for the diagnosis before operation. Endoscopic examination is necessary method for diagnosis . Therefore, understanding the features of malignant lymphoma under endoscope will be helpful for early diagnosis.