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目的探讨原发性胃恶性淋巴瘤的临床特点。方法回顾性分析 13例经手术治疗的原发性胃恶性淋巴瘤患者的临床资料。结果平均发病年龄 43.6岁 ,男女之比为 1.6∶ 1。肿瘤发生于胃窦部 8例 ,胃体部 4例 ,全胃 1例。术前钡餐及内镜检查诊断胃癌 6例 ,胃溃疡 7例 ,误诊率达 10 0 %。10例行根治性手术 ,术后行化疗 ;3例因病变范围大无法切除 ,探查后仅取活检。随访满 5年者 6例 : 期 1例生存 8个月 ; 期 2例 ,平均生存 30个月 ; 期 3例 ,平均生存 6 8个月 ,其中 1例超过 5年。手术探查 3例 ,因放弃治疗 ,均在术后 3个月内死亡。结论本病好发于青壮年男性 ,部位以胃窦及幽门前区多见 ,预后较好
Objective To investigate the clinical features of primary gastric malignant lymphoma. Methods The clinical data of 13 patients with primary gastric malignant lymphoma treated surgically were retrospectively analyzed. The average age of onset was 43.6 years, with a ratio of 1.6 to 1. Tumors occurred in 8 cases of gastric antrum, 4 cases of gastric body, and 1 case of total stomach. Preoperative barium meal and endoscopy were used to diagnose 6 cases of gastric cancer and 7 cases of gastric ulcer. The misdiagnosis rate was 100%. Radical surgery was performed in 10 cases and chemotherapy was performed after surgery. 3 cases could not be resected due to a large range of lesions. Only biopsy was performed after probing. Follow-up of 5 years 6 cases: 1 case survived 8 months; 2 cases, the average survival of 30 months; 3 cases, the average survival of 6 8 months, including 1 case more than 5 years. Surgical exploration in 3 cases, due to give up treatment, all died within 3 months after surgery. Conclusions This disease occurs in young men and is more common in the gastric antrum and prepyloric area. The prognosis is better.