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- The Comparison of Clinical Findings and Endoscopic Patterns between Primary Gastric MALToma and Diffuse Large B-Cell Lymphoma: One Center Experience
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題 名 | The Comparison of Clinical Findings and Endoscopic Patterns between Primary Gastric MALToma and Diffuse Large B-Cell Lymphoma: One Center Experience=比較原發性胃粘膜相關淋巴組織淋巴瘤及瀰漫大B細胞淋巴瘤之臨床及內視鏡表現:單一醫學中心經驗 |
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作 者 | 賴建翰; 王鴻源; 陳銘仁; 陳志仁; 劉家源; 林慶忠; | 書刊名 | 臺灣癌症醫學雜誌 |
卷 期 | 29:2 2013.06[民102.06] |
頁 次 | 頁73-78 |
分類號 | 415.6 |
關鍵詞 | 原發性胃淋巴癌; 內視鏡表現; 瀰漫大B細胞淋巴瘤; 粘膜相關淋巴組織淋巴瘤; Primary gastric lymphoma; Endoscopic findings; DLBCL; MALToma; |
語 文 | 英文(English) |
中文摘要 | 診斷時疾病的分期及組織學型態影響著胃淋巴癌患者的存活率,然而因為這種疾病 往往以非特異性的臨床症狀及內視鏡型態來表現,因此對臨床診斷的醫師是一大挑戰; 因此我們收集了 20 個原發性胃部瀰漫大 B 細胞淋巴瘤以及 10 個粘膜相關淋巴組織淋巴 瘤的患者來作分析,發現大部分患者的內視鏡表現為潰瘍型態,而且多數病灶以侵犯胃 體部為主,在瀰漫大 B 細胞淋巴瘤患者需要再次切片的機會較高,並且潰瘍的大小在瀰 漫大 B 細胞淋巴瘤明顯的比粘膜相關淋巴組織淋巴瘤大。 |
英文摘要 | Background: The remission rate and long-term survival duration in gastric lymphoma patients depend on the disease stage and histological type at diagnosis. However, the disease remains challenging for the clinician and endoscopist because of its nonspecific clinical presentation and endoscopic patterns. The particular characteristics that distinguish primary gastric MALToma from diffuse large B-cell lymphomas (DLBCL) need more investigation. Methods: We retrospectively reviewed the records of primary gastric lymphoma patients between January 2003 and September 2011. Data analyzed included age, sex, symptoms, Lugano staging, and laboratory data including complete blood cell count, platelet, blood sugar, serum albumin, serum lipid, LDH levels and liver function. Endoscopic findings including gross appearance, mean lesion size, gastric site involved, need for repeat biopsy, H. pylori infection, and histology were recorded. Results: Thirty primary gastric lymphoma patients including 20 with DLBCL were observed. The incidences for men and women were nearly equal, and the mean patient age was 62.1 years. Overall, 20 (66.7%) patients complained of alarm symptoms at diagnosis, and the Lugano staging of 17 (60.7%) was Stage I. Most endoscopic lesions were ulcers, including ulcerative type and exophytic type with surface ulceration (93.6%), with 60% involving the gastric body. The mean lesion size differed significantly between gastric DLBCL and MALToma (4.2 ± 2.6 vs. 2.2 ± 2.1, p < 0.05) and the overall rate of unsuccessful first endoscopic biopsy was high (20%). Conclusions: Ulcerative-type presentation in gastric lymphomas represented more than 90% of cases and the mean lesion size differed significantly between gastric DLBCL and MALToma. |
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