中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2012年
2期
145-147
,共3页
淋巴瘤,非霍奇金%回顾性研究
淋巴瘤,非霍奇金%迴顧性研究
림파류,비곽기금%회고성연구
Lymphoma%Non-Hodgkin%Retrospective study
回顾性分析本院经组织病理学诊断的26例原发性胃肠道非霍奇金淋巴瘤(PGINHL)的临床资料,其中原发于胃12例,小肠9例,大肠4例,1例为混合部位.临床症状无特异性,依次为腹痛(73%)、消化道出血(23%)及腹部包块(15%).病理类型以MALT淋巴瘤(35%)和弥漫性大B细胞淋巴瘤(35%)最多见;其次为肠病相关T细胞淋巴瘤(15%).临床分期14例患者为Ⅰ期,6例为Ⅱ期,1例为Ⅲ期,5例为Ⅳ期.治疗方案多样化.
迴顧性分析本院經組織病理學診斷的26例原髮性胃腸道非霍奇金淋巴瘤(PGINHL)的臨床資料,其中原髮于胃12例,小腸9例,大腸4例,1例為混閤部位.臨床癥狀無特異性,依次為腹痛(73%)、消化道齣血(23%)及腹部包塊(15%).病理類型以MALT淋巴瘤(35%)和瀰漫性大B細胞淋巴瘤(35%)最多見;其次為腸病相關T細胞淋巴瘤(15%).臨床分期14例患者為Ⅰ期,6例為Ⅱ期,1例為Ⅲ期,5例為Ⅳ期.治療方案多樣化.
회고성분석본원경조직병이학진단적26례원발성위장도비곽기금림파류(PGINHL)적림상자료,기중원발우위12례,소장9례,대장4례,1례위혼합부위.림상증상무특이성,의차위복통(73%)、소화도출혈(23%)급복부포괴(15%).병리류형이MALT림파류(35%)화미만성대B세포림파류(35%)최다견;기차위장병상관T세포림파류(15%).림상분기14례환자위Ⅰ기,6례위Ⅱ기,1례위Ⅲ기,5례위Ⅳ기.치료방안다양화.
The clinical data of 26 cases with pathologically confirmed primary gastrointestinal nonHodgkin's lymphoma (PGINHL) admitted to our hospital from January 2001 to December 2010 were retrospectively analyzed.Among 26 patients,12 cases occurred in stomach,9 cases in small intestine,4 cases in colon and 1 case in multiple sites.The most common symptoms were abdominal pain (73%),followed by gastrointestinal bleeding (23%) and abdominal mass (15%).The main pathological types were MALT lymphoma (35%),diffuse large B-cell lymphoma (35%),and enteropathy-type T-cell lymphoma ( 15% ).There were 14 patients in stage Ⅰ,6 in stage Ⅱ,1 in stage Ⅲ and 5 in stage ⅣV.Radical surgery and/or chemotherapy was the main therapy for PGINHL.