CAJ | 학술논문

目的探讨原发性胃恶性淋巴瘤的临床诊治特点.方法回顾性分析2001年1月至2008年5月收治的34例原发性胃恶性淋巴瘤的临床资料.结果恶性B细胞型淋巴瘤23例,恶性T细胞型淋巴瘤7例,小细胞性非B非T细胞型淋巴瘤4例.术中及术后病理证实有区域淋巴结转移者14例,侵犯邻近器官者5例.手术切除率91.2%(31/34),根治切除率73.5%(25/34),无手术死亡病例.随访时间为3个月至7年,全组已死亡8例.结论原发性胃恶性淋巴瘤临床缺乏特异性,胃镜诊断确诊率低,手术是治疗的主要手段,预后与手术方式、肿瘤大小、病理分期有关.
목적 탐토원발성위악성림파류적림상진치특점.방법 회고성분석2001년1월지2008년5월수치적34례원발성위악성림파류적림상자료.결과 악성B세포형림파류23례,악성T세포형림파류7례,소세포성비B비T세포형림파류4례.술중급술후병리증실유구역림파결전이자14례,침범린근기관자5례.수술절제솔91.2%(31/34),근치절제솔73.5%(25/34),무수술사망병례.수방시간위3개월지7년,전조이사망8례.결론 원발성위악성림파류림상결핍특이성,위경진단학진솔저,수술시치료적주요수단,예후여수술방식、종류대소、병리분기유관.
Objective To discuss the clinical characteristics of diagnosis and treatment of primary gastric malignant lymphoma (PGML). Method The data from 34 PGML medical records were reviewed retrospectively between January 2001 and May 2008. Results There were 23 cases of B-cell malignant lymphoma, 7 cases of T-cell malignant lymphoma, and 4 cases of non-B and non-T small cell lymphoma. Confirmed by pathology, 14 cases of them had metastasis to lymphoid nodes and 5 cases had invaded the organs nearby. All of these 34 cases had gastroendoscopy before operation. Conclusions PGML has no specific manifestation, and the definitely diagnostic rate of gastroendoscopy is low. The surgical resection is the major therapy.Operative pattern,the size of tumor,pathological stage can predicate the prognosis for PGML.