胃嗜酸性肉芽肿的临床病理分析

目的分析19例胃嗜酸性肉芽肿(CEC)的临床病理诊断资料,探讨胃嗜酸性肉芽肿的误诊原因及避免误诊的诊断方法。方法回顾性分析收治的19例胃嗜酸性肉芽肿的临床、病理资料。结果 19例病例中术前诊断中,16例误诊为胃溃疡,2例误诊为胃癌,仅1例确诊为胃嗜酸性肉芽肿,误诊率高达94.74%。手术后病理诊断均确诊为胃嗜酸性肉芽肿。结论该病种临床误诊率高,病理诊断是其唯一确诊途径;强调提高临床医生对本病的认知度,手术前进行胃镜挖掘性多点活检或术中进行快速病理检查是减少误诊的有效方法。

Analysis of clinical pathology on gastric eosinophilic granuloma:report of 19 cases

Objective To analyze the pathological diagnosis data of 19 cases with gastric eosinophilic granuloma(GEG),and to discuss the reasons for misdiagnosis of GEG and the diagnostic methods to avoid such misdiagnosis.Methods Clinical and pathological data of 19 cases with GEG from January 2006 to December 2010 were analyzed respectively.Results Among preoperative diagnosis of the 19 cases with GEG,16 cases were misdiagnosed as gastrohelcoma,two cases were misdiagnosed as gastric cancer and only one case diagnosed definitely as GEG.The misdiagnosis rate as high as 94.74%.However,postoperative diagnosis of the 19 cases with illness was both diagnosed definitely as GEG.Conclusion The misdiagnosis rate of such kind of illness is high;pathological diagnosis is the only way for definite diagnosis,which emphasizes the importance to improve clinical doctors’ awareness to such illness and proves that preoperative with mining sex more biopsy or fast pathological examination are the effective ways to reduce misdiagnosis.