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目的分析原发性胃恶性淋巴瘤(PGL)的临床表现、内镜及超声、X线钡检和螺旋CT的表现,以提高胃恶性淋巴瘤的术前确诊率。方法回顾2006年10月至2011年1月本院手术及病理确诊的PGL 7例的病历资料,结合文献对多种检查方法诊断此病进行分析。结论 PGL术前确诊率低,应用多种检查方法综合分析,并内镜下对病变区域采取多次、多点和深凿活检以及EMR切除大块胃黏膜作免疫组化染色检查,可提高PGL的术前确诊率。
Objective To analyze the clinical manifestation, endoscopic and ultrasonography, barium examination and spiral CT in patients with primary gastric malignant lymphoma (PGL) to improve the preoperative diagnosis of gastric malignant lymphoma. Methods From October 2006 to January 2011, 7 cases of PGL diagnosed by surgery and pathology in our hospital were reviewed. The records of 7 cases of PGL were retrospectively analyzed. Conclusion PGL preoperative diagnosis rate is low, the application of a variety of inspection methods comprehensive analysis, and endoscopic lesions of the area to take multiple, multiple and deep chisel biopsy and EMR resection of large gastric mucosa for immunohistochemical staining can improve PGL Preoperative diagnosis rate.