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本文报道3例原发性结肠淋巴瘤,并综述有关文献.3例患者年龄46～68岁,男2,女1.主要症状有腹痛、黑便、腹部肿块、体重下降、恶心及呕吐等.肿瘤位于盲肠2例、横结肠1例.大小7～9.5cm.2例为大细胞型(分化良好),1例为小细胞型(分化差).2例局部淋巴结转移(1例1/17,1例5/13).3例均无远处转移.1例横结肠淋巴瘤伴有溃疡性结肠炎,手术切除,术后化疗,2年内无复发;2例盲肠淋巴瘤行右半结肠切除,术后化疗,1例1年内无复发,1例失访.Dawson提出原发性胃肠道淋巴瘤诊
This article reported three cases of primary lymphoma of the colon, and reviewed the relevant literature. Three patients aged 46 to 68 years old, male 2, female 1. The main symptoms are abdominal pain, melena, abdominal mass, weight loss, nausea and vomiting. The tumor was located in 2 cases of cecum and 1 case of transverse colon. The size ranged from 7 to 9.5 cm. Two cases were of large cell type (well-differentiated), and one case was of small cell type (differentiated). Two cases of lymph node metastasis (1 case 1/17, One case of 5/13).3 cases had no distant metastasis. One case of colonic lymphoma with ulcerative colitis, surgical resection, postoperative chemotherapy, no recurrence within 2 years; 2 cases of cecal lymphoma underwent right colon resection, Postoperative chemotherapy, 1 case did not relapse within 1 year, 1 case was lost. Dawson put forward the diagnosis of primary gastrointestinal lymphoma