本文报告经手术证实的胃恶性淋巴瘤37例,对其内镜检查、活检材料及手术病理进行复查,内镜诊断率41.2％,活检诊断率44.1％。内镜下可分为溃疡型、隆起型及混合型。溃疡型周边陡峻,底平滑,或多发性溃疡呈圆盘状,多位于胃体大弯侧;粗大粘膜呈结节样隆起,上有糜烂,称隆起型;既有溃疡,又有粗大粘膜隆起为混合型;可看做胃恶性淋巴瘤的内镜下特点。 This article reports 37 gastric malignant lymphomas confirmed by surgery. Endoscopic examination, biopsy materials, and surgical pathology were reviewed. The endoscopic diagnosis rate was 41.2%, and the biopsy diagnosis rate was 44.1%. Under the endoscope can be divided into ulcer type, uplift type and mixed type. The surrounding ulcers are steep, the bottom smooth, and the multiple ulcers are disk-shaped, mostly located on the side of the large curvature of the corpus; the thick mucosa is nodular uplift with erosion, called uplift type; both ulcers, and large mucosal uplift For mixed type; can be seen as endoscopic features of gastric lymphoma.