目的　探讨原发性胃恶性淋巴瘤 (PGML )的临床及病理特点。方法　回顾性分析我院 1987年 1月至 2 0 0 1年 7月期间收治的 6 7例原发性胃恶性淋巴瘤。结果　术前确诊 32例 (47.8% ) ,根治性切除术 5 2例 ,姑息性切除术 12例 ,探查术 2例 ,胃空肠吻合术 1例。术后除 1例死亡 ,1例切口感染外 ,余 6 5例痊愈出院。结论　 PGML发病率低 ,术前易误诊 ,多数病例为 E或 E期 ,手术切除机会较大 Objective To investigate the clinical and pathological features of primary gastric malignant lymphoma (PGML). Methods A retrospective analysis of 67 patients with primary gastric malignant lymphoma admitted to our hospital from January 1987 to July 2001 was performed. Results 32 cases were diagnosed preoperatively (47.8%), radical resection in 52 cases, palliative resection in 12 cases, exploration in 2 cases and jejunal anastomosis in 1 case. In addition to one death after surgery, an incision infection, the remaining 65 cases were discharged. Conclusions The incidence of PGML is low, it is easily misdiagnosed before surgery, most cases are E or E, and the chance of surgical resection is larger