原发性胃恶性淋巴瘤28例临床分析

目的 探讨原发性胃恶性淋巴瘤的临床特点、诊断方法、外科治疗方法.方法 回顾性分析经手术治疗的28例原发性胃恶性淋巴瘤的临床资料.术前常规行胃镜、X线钡餐造影、CT检查.对早期伴有出血、穿孔或化疗期间有出血、穿孔风险及胃镜病理诊断疑癌的患者采取手术治疗.结果 术式:D1根治术13例,D2根治术11例,姑息切除术3例,联合...

Clinical Analysis of 28 Patients with Primary Gastric Malignant Lymphoma

Objective To investigate the clinical characterstics,diagnosis,surgical therapy of primary gastric malignant lymphoma.Methods The clinical information of 28 patients with primary gastric malignant lymphoma by surgery was analysed retrospectively.Gastroscopy,barium meal examination,CT was routine preoperative diagnosis methods.The surgery should be taken for the following conditions: early stage,hemorrhage or perforation coexisting,or with hemorrhage or perforation risk during chemotherapy and suspicious of cancer by gastroscopy pathology.Results The type of surgery: D1 radical surgery of 13 cases,D2 radical surgery of 11 cases,palliative surgery of 3 cases and combined organ resection of 1 case.Of them,6 cases were proximal gastrectomy,10 cases total gastrectomy and 12 cases extremity gastrectomy.Of the 28 cases,the diagnosis of 20 cases were confirmed preoperavively,5 cases were undifferentiated cancer and 3 cases were suspicious of cancer.Primary gastric malignant lymphoma was mainly located in the body of the stomach and lesser curvature and posterior part of sinuses ventriculi with quite big mass.Conclusion The preoperative diagnosis of primary gastric malignant lymphoma is mainly gastroscopy.Preoperative diagnosis rate could be improved through the combination of ultrasonic gastroscopy,X ray barium meal examination and CT.Surgery should be taken for the following conditions: early stage,hemorrhage or perforation coexisting,or with hemorrhage or perforation risk during chemotherapy and suspicious of cancer.