【摘要】 目的 探讨提高原发性胃淋巴瘤的诊治水平。方法 回顾性分析36例胃淋巴瘤病例。结果 在本组资料中，病理分期(Arbor标准)为Ⅰ_E 期15例，Ⅱ_E 期7例，Ⅲ_E 期8例，Ⅳ_E 期6例；术前误诊率为22.2%，手术切除率为72.2%。手术加化疗5年生存率，低度恶性胃淋巴瘤为87.4%，高度恶性胃淋巴瘤为52.1%；单纯化疗时高度恶性胃淋巴瘤5年生存率仅为17.6%。结论 早期诊断、切除胃的原发病灶加术后联合化疗是提高原发性胃淋巴瘤生存率的主要因素。

Diagnosis and treatment of primary gastric

    lymphoma: A report of 36 cases

HE Xiaodong, LIU Hongsheng, ZHANG Zhenhuan, et al. Surgical Department of Peking Union Medical College Hospital, Beijing 100730

【 Abstract】 Objective To study the diagnosis and treatment of primary gastric lymphoma. Methods Thirty-six cases with primary gastric lymphoma were analyzed retrospectively. Results Among 36 cases, 15 cases were stage Ⅰ_E , 7 cases stage Ⅱ_E , 8 cases stage Ⅲ_E , 6 cases stage Ⅳ_E according to Arbor standard. Preoperative misdiagnosis rate was 22.2%, resection rates 72.2%. The 5-years survival rates were 87.4% in mild malignant lymphoma, 52.1% in severe ones with methods of tumor resection plus postoperative chemotherapy; 17.6% in severe ones with chemotherapy only. Conclusion Early diagnosis, tumor resection and postoperative chemotherapy are the key factors to improve survival rate of patients with primary gastric lymphoma.

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