Clinical, Endoscopic， and Pathologic Features of Primary Gastric Malignant Lymphoma
10.3321/j.issn:1000-467X.2001.05.017
- VernacularTitle:原发性胃恶性淋巴瘤临床、内镜与病理特点
- Author:
Kai-Hong HUANG
1
;
Lian-Yuan WANG
;
Wei-Xian CHEN
;
Hai-Gang LI
;
Ping LIN
Author Information
1. Sun Yat-sen Memorial Hospital Sun Yat-sen University of Medical Sciences
- From:Chinese Journal of Cancer
2001;20(5):519-522
- CountryChina
- Language:Chinese
-
Abstract:
Objective： This study was designed to evaluate the clinical, endoscopic, and pathologic characteristics of primary gastric malignant lymphoma(PGML). Methods： Thirty patients with PGML were retrospectively reviewed and analyzed in the aspects of elinical, roentgenography, and endoscopic status. Results： The clinical presentations including abdominal pain, loss of weight, fever, and upper gastrointestinal hemorrhage were invariably found. Most lesions were in the body of stomach(73.3％ ). All patients were examined by endoscopy with protruding, infiltrative, and ulcerative lesions accounting for 46.7％ (14/30), 40.0％ (12/30), and 13.3％ (4/30) ,respectively. The pathological coincidence rate of endoscopic biopsy with resected operation was 80.0％ . The tumor might originate from the following organisms： B cell of 90.0％ (27/30)(19 of them are mucosa-associated lymphoid tissue lymphoma) and T cell of 10.0％ (4/30). The operative resectability of these PGML remained higher and these PGML were sensitive to chemotherapy and radiotherapy. Conclusion： PGML is very likely to be misdiagnosed or neglected due to its rarity and specificity. Gastroscopy remains to be valuable to correct diagnosis of PGML. Better prognosis is often expected if followed by operative resection, chemotherapy and/or radiotherapy.
