原发性胃恶性淋巴瘤的临床特点和外科治疗

Clinical Characteristics and Treatment of Primary Gastric Malignant Lymphoma

目的 :探讨原发性胃恶性淋巴瘤的临床特点和治疗。方法 :回顾性分析 2 1例原发性胃恶性淋巴瘤的诊治情况。结果 :2 1例中术前经胃镜活检确诊 7例 ,确诊率仅为 33 3% ,手术切除 2 0例 ,行全胃切除 12例 ,胃大部切除 8例 ,剖腹探查 1例 ,5年生存率为 5 7 1%。结论 :原发性胃恶性淋巴瘤术前确诊以胃镜活检为主要手段 ,但确诊率仍待提高。治疗以手术切除为主 。

Objective To study the clinical characteristics and treatment of primary gastric malignant lymphoma(PGML).Methods The data of 21 cases of PGML were retrospectively analyzed.Results Only 7 of 21 cases diagnosed confirmedly before operation by gastroendoscopy and biopsy, the preoperative confirmed diagnostic rate was 33.3%.Twenty patients were curatively resected without any postoperative complication and 1 was unresectable.The 5-year survival rate was 57.1%.Conclusion The diagnosis of PGML was mainly by the gastroendoscopy and biopsy,but the rate of confirmed diagnosis was still need to be improved.Surgical operation was the most effective treatment manner and preoperative adjuvant chemotherapy was necessary.