查詢結果分析
來源資料
相關文獻
- Low-grade Gastric Mucosa-Associated Lymphoid Tissue Lymphoma (MALToma):Clinical Characteristics, Endoscopic Features, Treatments and Outcomes--An Analysis of Eight Cases
- Gastric MALT Lymphoma with Secondary Pulmonary Lymphoma: A Case Report
- 黏膜相關淋巴組織淋巴瘤之診斷與治療現況
- One-Week Low-Dose Triple Therapy is Effective in Treating Helicobacter Pylori-Infected Patients with Bleeding Peptic Ulcers
- 舒肝養陰治療幽門桿菌胃炎
- 消化性潰瘍的禍首--幽門桿菌
- Effect of Cimetidine on Arylamine N-Acetyltransferase Activity in Helicobacter Pylori from Peptic Ulcer Patients
- 血液透析患者以碳十三尿素吹氣檢查(丨C-UBT)來偵測幽門桿菌感染之效度研究
- Erythrocyte Lewis Antigen Phenotypes of Dyspeptic Patients in Taiwan--Correlation of Host Factor with Helicobacter Pylori Infection
- Presence of iceA1 but not cagA, cagC, cagE, cagF, cagN, cagT, or orf13 Genes of Helicobacter Pylori is Associated with More Severe Gastric Inflammation in Taiwanese
頁籤選單縮合
題 名 | Low-grade Gastric Mucosa-Associated Lymphoid Tissue Lymphoma (MALToma):Clinical Characteristics, Endoscopic Features, Treatments and Outcomes--An Analysis of Eight Cases=低惡性度胃黏膜相關淋巴組織淋巴瘤的臨床症狀,胃鏡徵候,及治療成效--八例病例分析 |
---|---|
作 者 | 蔡明勳; 徐以信; 楊國卿; 陳瑞灝; 劉玉華; 王建民; 溫武慶; 李進成; 陳東榮; | 書刊名 | 中華民國消化系醫學雜誌 |
卷 期 | 14:1 1997.03[民86.03] |
頁 次 | 頁7-17 |
分類號 | 415.527 |
關鍵詞 | 黏膜相關淋巴組織淋巴瘤; 幽門桿菌; Mucosa-associated lymphoid tissue lymphoma; MALToma; Helicobacter pylori; H. pylori; |
語 文 | 英文(English) |
中文摘要 | 低惡性度胃黏膜相關淋巴組織淋巴瘤(MAL Tom),是種不常見的腫瘤,有生長緩慢 的特性。從胃黏膜相關淋巴組織處產生,與幽門桿菌感染有密切關係。本院從民國八十二年 一月至八十四年十二月,共有八例經病理組織診斷為〞低惡性度胃黏膜相關淋巴組織淋巴瘤 〞的病例。病人性別為五男三女,年齡從 21 歲至 75 歲 (平均 58 歲 )。共有十一個病灶 在這八個病人胃內。 在內視鏡底下的徵狀是多樣化,包括:凹陷潰瘍型 (64 % ),鍾瘤凸 起型 (27 % ),扁平糜爛型 (9 % )。 病灶位置在胃體下部有 4 例 (36 % ),胃角部有 4 例 (36 % ),胃體中部有 2 例 (18 % ),胃竇有 1 例 (9 % )。八例都先後做過 CLO test,組織學 (Giemsa stain) 或血清學檢查以判定是否感染幽門桿菌。其中 5 人 (63 % ) 有幽門桿菌感染的證據。八例中有五人開刀 (63 % ),其中一人做全胃切除,另 4 人做 胃部份切除。 開刀後有三人持續追蹤各 3 個月,10 個月,13 個月,剩餘胃部組織做生檢 皆無 MAL Toma 復發現象。有三人接受幽門桿菌的清除治療並成功清除幽門桿菌。其中二例 各追蹤 3 個月及 6 個月,皆無組織學上 MAL Toma 的存在。另一例幽門桿菌雖已清除,但 在追蹤至第四個月時,組織學上仍有低惡性度 MAL Toma 的存在。我們並未給予特別治療而 只以胃鏡追蹤觀察,終於在第七個月時 MAL Toma 達到緩解。低惡性度胃黏膜相關淋巴組織 淋巴瘤 (MAL Toma) 在清除幽門桿菌後能達到腫瘤的緩解。但是長期追蹤以評估緩解的效果 及再復發的可能性是必要的。 |
英文摘要 | Primary low-grade gastric mucosa-associated lymphoid tissue lymphoma (MAL Toma) is a rare tumor with an indolent nature, arising from the gastric mucosa-associated lymphoid tissue (MALT), and has a close relationship with Helicobacter pylori (H. pylori) infection. We encountered 8 cases (5 men and 3 women, mean age 58) of primary gastric MAL Toma from January 1993 to December 1995. A total of 11 lesions in these 8 cases were found. The endoscopic features of these lesions were variable, including ulcer-like (64%, 7/11), mass-like (27%, 3/11), and even erosion-like morphology (9%, 1/11). They were located in the lower body (36%, 4/11), angle (36%, 4/11), middle body (18%, 2/11), and antrum (9%, 1/11) of the stomach. H. pylori status was identified with CLO test, Giemsa stain and serology test. Five cases (63%) showed evidence of H. pylori infection. Five patients underwent operations, one for total gastrectomy and four for subtotal gastrectomy. After the operations, three cases were followed up by endoscopy for 3, 10, and 13 months, respectively, and no MALToma relapse in the remnant stomachs was found. Three cases received anti-H. pylori therapy. In two of them, eradication of H. pylori was successfully eradicated from the third case, MALToma features were still found in the fourth month, and then regressed in the seventh month without additional treatment. In conclusion, low-grade gastric MALToma is a low-grade neoplastic process confined to localized tissue and has good prognosis. H. Pylori is closely related to the pathogenesis of low-grade gastric MALToma, and the MALToma can regress after eradication. of H. pylori infection. Our data supports this concept. However, follow-up is needed to evaluate the long-term results and possible recurrence of MALtoma. |
本系統中英文摘要資訊取自各篇刊載內容。