Endoscopic ultrasonography in diagnosis of primary gastric lymphoma
- VernacularTitle:内镜超声检查诊断胃原发性淋巴瘤的临床价值
- Author:
Qi ZHU
;
Kai XU
;
Lu XIA
;
Jihong TAN
;
Bo SUN
;
Yiping HE
- Publication Type:Journal Article
- Keywords:
Endoscopic ultrasonography;
Gastric;
Lymphoma;
Gastric cancer;
Diagnosis
- From:
Chinese Journal of Digestive Endoscopy
2008;25(5):229-232
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of EUS in the diagnosis,differential diagnosis and follow-up of primary gastric lymphoma(PGL).Methods A total of 26 patients whose endoscopic findings were highly suspected for PGL were enrolled in this study.Initial endoscopic examination anti routine biopsy were performed in all patients.EUS were undergone in all cases and its guided large piecemeal biopsy was administered in selected patients.The results of EUS,routine biopsy and routine biopsy combined with a large piecemeal biopsy were compared.Results Compared with biopsy and histopathological results,EUS made the fight diagnosis in 23 cases with overall accuracy of 88.46%,which was significantly superior to routine endoscopy and biopsy(50.0%,P=0.006),but was slightly lower than that of routine biopsy combined with large piecemeal biopsy(88.5%vs.92.3%,P=1.000).EUS can accurately differentiate gastric malignancy from benign disease with accuracy of 100.0%(23/23).Meanwhile EUS accuracy of tumor invasion(T stage)was 100.0%(12/12)as well.Conclusion EUS is valuable in the diagnosis,differential diagnosis and follow-up of PGL.
