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原发性胃淋巴瘤少见,仅占胃恶性损害的2％～5％。对于本病的生物学行为,尤其是早期的生物学行为了解不多。为了阐明胃淋巴瘤的临床病理学特点,作者回顾性地分析了1986～1993年间的10例早期胃淋巴瘤病人,其组织病理学诊断按日本的LSG分类。并与同期180例作胃切除的胃粘膜下腺癌病人作了比较。1O例病人术前胃活检诊断6例为淋巴病瘤,2例为假性淋巴瘤,2例为分化不良腺癌。7例作胃次全切除术,3例作了全胃切除术。
Primary gastric lymphoma is rare, accounting for only 2% to 5% of gastric malignant lesions. Little is known about the biological behavior of this disease, especially early biological behavior. To elucidate the clinicopathological features of gastric lymphoma, the author retrospectively analyzed 10 patients with early gastric lymphoma between 1986 and 1993. Histopathological diagnosis was classified according to the Japanese LSG. And compared with 180 cases of gastric submucosal adenocarcinoma patients undergoing gastrectomy. In 1O patients, 6 cases were diagnosed as lymphomas, 2 cases were pseudo-lymphomas, and 2 cases were poorly differentiated adenocarcinomas. Seven patients underwent subtotal gastrectomy and three patients underwent total gastrectomy.