原发性肠道恶性淋巴瘤6例诊治分析

目的]总结原发性肠道恶性淋巴瘤的有效诊治方法。方法]对我院1990-2001年6月原发性肠道淋巴瘤的临床诊治做回顾性分析。结果]患以腹部不适，腹泻，腹痛及腹部包块，黑便为临床表现，回肠末端4例，十二指肠球部1例，直肠1例。术前确诊2例。为胃，肠镜下确诊，其中5例获随访，5年生存率为40%，病理类型为非何杰金氏恶性淋巴瘤；B淋巴细胞性淋巴瘤5例（4例为高度恶性，1例为低度恶性）；高度恶性T淋巴细胞性淋巴瘤1例。4例行辅助性CHOP化疗。结论]胃，肠镜活检最有诊断价值。手术方式与肠癌相似。术后化疗与手术治疗同等重要。病理类型是判断预后的重要指标。

Diagnosis and treatment of 6 cases with primary intestine malignant lymphoma

To sum up the effective diagnosis and treatment of primary intestine malignant lymphoma.From 1990 to 2001,the clinical data of 6 patients with primary intestine malignant lymphoma were retrospectively analy zed.The main manifestation of this group contained abdominal discomfort,abdominal mass,hemorrhage in the feces.All the patient underwent opoeration.Among the 6cases,2 were definitely diagnosed by gastroscopy or intestinecopy before operation.Five cases were followed up.The 5 year survival rate was 40%.Patho logical type was non Hodkin lymphoma,inclucliny 5cases fo B lymphocyte lymphoma and 1 case fo T lymphocyte lymphoma.Assistant chop chemotherapy was performed on 4 cases.Conclusion]Bilpsy under a gastroscope or intestine cope had great dignostic values.Operation treatment was as important as chemical therapy.Patholgical thpe was an important indication for evaluation of prognosis.