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作者等回顾了1966～1981年美国Strong医院胃肠道原发性淋巴瘤46例的诊疗经验。胃肠道外淋巴结同时有病变者未计入,因无法确认何者为原发。46例中男35例、女11冽;平均58岁,大于60岁者占48%,小于20岁者13%。肿瘤分布:胃23例(50%);十二指肠2例;空肠5例;回肠5例;结肠9例;不明确者2例。年幼者病灶多在肠道,年长者则多在胃。最常见的症状是腹痛(65%),其次是体重下降(43%),出血(33%)及呕吐(24%)较多见于病灶在胃者,发热(15%)及腹胀(11%)则基本见于病灶在肠道者。1例8岁儿童并发了回肠结肠型肠套叠。最常见的体征是腹部肿块(35%),其它则有胃肠梗阻、穿孔或紫癜等表现。钡餐检查31例中获确诊者4例(胃3、肠1),
The authors reviewed the diagnosis and treatment experience of 46 cases of primary lymphoma of the gastrointestinal tract in the Strong Hospital of the United States from 1966 to 1981. Those with gastrointestinal extra-lymphatic lesions were not counted because they could not confirm what was the primary cause. Among the 46 cases, 35 were males and 11 were females; the average age was 58 years, 48% of them were over 60 years old, and 13% were younger than 20 years old. Tumor distribution: 23 cases of stomach (50%); duodenum in 2 cases; jejunum in 5 cases; ileum in 5 cases; colon in 9 cases; ambiguous in 2 cases. Younger patients have more lesions in the intestine, and older people have more stomachs. The most common symptoms were abdominal pain (65%), followed by weight loss (43%), bleeding (33%) and vomiting (24%) were more common in the lesions in the stomach, fever (15%) and bloating (11%) Basically seen in the intestinal lesions. One 8-year-old child developed ileal colon intussusception. The most common signs are abdominal masses (35%), others with gastrointestinal obstruction, perforation, or purpura. Barium meal examination in 31 cases was confirmed in 4 cases (gastric 3, bowel 1),