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目的探讨胃镜对胃原发性恶性淋巴瘤(PGL)的诊断价值。方法分析25例胃原发性恶性淋巴瘤患者经胃镜检查,16例被误诊为胃癌或胃溃疡,而经病理证实为胃原发性恶性淋巴瘤的临床及胃镜下的表现。结果因PGL的病理变化不在胃黏膜表面而致镜下误诊。结论重视胃镜检查对胃原发性恶性淋巴瘤的诊断价值,结合PGL临床表现和病理分析、免疫组化检查有助于提高诊断效果。
Objective To investigate the diagnostic value of endoscopy in the diagnosis of primary gastric malignant lymphoma (PGL). Methods Twenty-five cases of gastric primary malignant lymphoma were analyzed by gastroscopy and 16 cases were misdiagnosed as gastric cancer or gastric ulcer. The pathological findings were clinical and endoscopic manifestations of gastric primary malignant lymphoma. Results due to the pathological changes of PGL gastric mucosal surface misdiagnosis. Conclusion The importance of gastroscopy in the diagnosis of primary gastric malignant lymphoma is of great value. Combined with the clinical and pathological features of PGL, immunohistochemistry can improve the diagnostic value.