论文部分内容阅读
目的探讨大肠原发性恶性淋巴瘤(PCML)的临床表现、内镜特点,提高诊断水平。方法回顾性分析经病理证实的18例PCML的临床和内镜资料。结果18例患者主要症状为腹痛、体重下降、发热、腹块、血便和大便习惯改变。内镜下为结节型9例(50.0%),溃疡型5例(27.8%),浸润型4例(22.2%)。肿瘤起源于B淋巴细胞16例(88.9%),T淋巴细胞2例(11.1%)。内镜活检病理诊断PCML10例,手术后病理诊断8例。结论临床表现无特异性,内镜下表现与大肠癌或克隆病难以区分。
Objective To investigate the clinical manifestations, endoscopic features of primary malignant colorectal cancer (PCML) and to improve the diagnostic level. Methods The clinical and endoscopic data of 18 PCML confirmed by pathology were retrospectively analyzed. Results The main symptoms of 18 patients were abdominal pain, weight loss, fever, abdominal mass, bloody stool and stool habits changed. Endoscopic nodules in 9 cases (50.0%), ulcer in 5 cases (27.8%), infiltration in 4 cases (22.2%). Tumors originated in 16 cases of B lymphocytes (88.9%), T lymphocytes in 2 cases (11.1%). Endoscopic biopsy pathological diagnosis of PCML10 cases, postoperative pathological diagnosis of 8 cases. Conclusion The clinical manifestations of non-specific endoscopic findings and colon cancer or colon disease is difficult to distinguish.