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胃恶性淋巴瘤临床少见。我院近年来曾收治2例,现报告如下: 例1:男,54岁。因反复发作上腹部规律性疼痛20余年,伴黑便3天于1982年11月17日入院。查体:体温正常,全身浅表淋巴结不肿大,余无特殊阳性体征发现。胃镜示胃窦部小弯侧近幽门处粘膜糜烂。高低不平,蠕动差。活检报告胃窦组织炎性假瘤形成或恶性淋巴瘤可能。胃钡透示鲁窦粘膜皱襞增厚,胃壁僵硬,伴浅表溃疡;十二指肠球部变形。疑诊胃窦癌。术中见胃窦部浆膜呈灰白色,且有-4×4×3m大小的肿块,质硬界不清,幽门管狭窄,幽门下淋巴结肿大。作根治性胃大部切除
Gastric lymphoma is rare in clinical practice. Our hospital has treated 2 cases in recent years. The report is as follows: Example 1: Male, 54 years old. Repeated episodes of regular pain in the upper abdomen for more than 20 years, accompanied by 3 days of melena, were admitted to hospital on November 17, 1982. Examination: Normal body temperature, no superficial lymph node enlargement, no more than positive signs found. The gastroscope showed mucosal erosions of the pylorus near the pylorus. Uneven, poor creep. A biopsy report may indicate inflammatory antrum formation in the gastric antrum or malignant lymphoma. Stomach cramps showed thickening of the mucosa of the sinus of the sinus, rigid stomach wall with superficial ulceration, and deformation of the duodenal bulb. Suspected antrum cancer. During the operation, the serosa of the gastric antrum was gray and white, with a mass of -4x4x3m. The mass was hard to define, the pylorus was narrow, and the pylorus was swollen with lymph nodes. Radical partial gastrectomy