临床误诊误治2017，Vol.30Issue(5)：7-11,5.DOI:10.3969/j.issn.1002-3429.2017.05.003
原发性胃弥漫性大B细胞淋巴瘤临床特点及误诊分析
Clinical Characteristics and Misdiagnosis Analysis of Gastric Diffuse Large B Cell Lymphoma
摘要
Abstract
Objective To discuss clinical characteristics of primary gastric diffuse large B cell lymphoma (PG-DLBCL) and to analyze misdiagnosis causes in order to improve diagnosis rate.Methods Clinical data of 20 PG-DLBCL patients admitted from 2012 to 2016 was retrospectively analyzed.Results Among the 20 patients, 16 patients had upper abdominal pain;1 patient had hematemesis;1 patient had upper abdominal pain associated by melena;1 patient had upper abdominal pain, vomiting and melena;1 patient was found antral ulcer.A total of 7 patients were misdiagnosed, 2 patients were misdiagnosed as having gastric adenocarcinoma;2 were misdiagnosed as having chronic gastritis;1 was misdiagnosed as having chronic ulcers;1 was misdiagnosed as having mucous membrane associated lymphoma;1 was suspected as having lymphoma, and the misdiagnosed time was 9-15 d.After confirming the diagnosis by pathological examination, 3 patients underwent surgery and chemotherapy;1 underwent surgery, chemotherapy and radiotherapy;1 underwent surgery;15 underwent chemotherapy.There were 12 patients with complete remission, 4 patients with partial remission, 2 patients with disease aggravation, 1 patient with death and 1 patient without recurrence by regular recheck after the surgery.Conclusion Clinicians should improve the understanding of primary gastric diffuse large B cell lymphoma and perform a number of clinical examinations in order to improve diagnosis rate and reduce misdiagnosis rate.关键词
淋巴瘤,大B细胞,弥漫性/误诊/胃肿瘤Key words
Lymphoma/large B-cell/diffuse/Misdiagnosis/Stomach neoplasms分类
医药卫生引用本文复制引用
徐敏,戈伟..原发性胃弥漫性大B细胞淋巴瘤临床特点及误诊分析[J].临床误诊误治,2017,30(5):7-11,5.基金项目
国家自然科学基金(30970860) （30970860）
