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目的 :探讨原发性胃恶性淋巴瘤的临床特点及与胃癌的区别 ,提高诊治水平。方法 :对 33例原发性胃恶性淋巴瘤的临床资料进行分析并与胃癌作比较。结果 :原发性胃恶性淋巴瘤与胃癌相比 ,临床症状与体征不平行 ,全身情况相对较好 ,但胃内病变相对广泛且呈多中心、多形态改变 ,虽胃周淋巴结肿大较多但手术切除率较高 ,化疗疗效优于胃癌。结论 :提高对本病的认识 ,多种检查方法综合运用是提高诊断率的关键 ,因预后比胃癌相对较好 ,应积极治疗
Objective: To investigate the clinical features of primary gastric malignant lymphoma and its difference with gastric cancer and to improve the diagnosis and treatment. Methods: The clinical data of 33 patients with primary gastric malignant lymphoma were analyzed and compared with those of gastric cancer. Results: Compared with gastric cancer, the primary gastric malignant lymphoma showed non-parallel clinical symptoms and signs and a good systemic condition. However, the lesions in the stomach were relatively broad and multi-center with many morphological changes. Although there were more gastric lymphadenopathy However, the higher rate of surgical resection, chemotherapy is better than gastric cancer. Conclusion: To improve the understanding of the disease, the comprehensive use of multiple examinations is the key to improve the diagnosis rate, because the prognosis is better than gastric cancer, should be actively treated