胃弥漫性大B细胞淋巴瘤易误诊为胃癌1例临床病理分析_张俊.pdfVIP

临床与病理杂志 2015, 35(7) J Clin Pathol Res 1423 doi: 10.3978/j.issn.2095-6959.2015.07.042 ·临临床病例讨论·床病例讨论 View this article at: /10.3978/j.issn.2095-6959.2015.07.042 胃弥漫性大B细胞淋巴瘤易误诊为胃癌1例临床病理分析 张俊1，魏建国2，许春伟1，吴永芳1，王怀涛1，王海艳1，张博1，邵云1，李晓兵1 (1. 军事医学科学院附属医院病理科，北京 100071；2. 浙江省绍兴市人民医院病理科，浙江 绍兴 312000) [摘　要] 目的：探讨胃弥漫性大B细胞淋巴瘤的临床及病理特点，减少误诊误治。方法：对所获军事医学科 学院附属医院病理科诊断为胃弥漫性大B细胞淋巴瘤1例病例的临床及病理资料进行回顾性分析。 结果：本例胃镜检查发现胃窦见直径约6.0 cm以前壁和大弯侧为主、浸润生长的、周边不规则的溃 疡型隆起，中央污秽苔，并见紫蓝色血痂，诊断为胃体窦交界部溃疡型癌。后经我院活检病理及 免疫组织化学结果证实为非霍奇金淋巴瘤，类型考虑为弥漫性大B细胞淋巴瘤。结论：胃弥漫性大 B细胞淋巴瘤临床及病理类型少见，易误诊为低分化癌，应加强对胃淋巴瘤的临床及病理学特征的 认识并仔细分析病情，以避免或减少误诊误治。 [关键词] 胃；弥漫性大B细胞淋巴瘤；低分化癌；误诊 One case of clinicopathological analyses of gastric diffuse large B cell lymphoma to misdiagnosis as gastric cancer ZHANG Jun1, WEI Jianguo2, XU Chunwei1, WU Yongfang1, WANG Huaitao1, WANG Haiyan1, ZHANG Bo1, SHAO Yun1, LI Xiaobing1 (1. Department of Pathology, Af? liated Hospital of Academy of Military Medical Sciences, Beijing 100071; 2. Department of Pathology, Shaoxing People’s Hospital, Shaoxing Zhejiang 312000, China) Abstract Objective: Though investigating the clinical and pathological features of gastric diffuse large B cell lymphoma to reduce misdiagnosis and mistreatment. Methods: Clinical and pathological data was retrospectively analyzed in one case of gastric diffuse large B cell lymphoma, which was diagnosed by Affiliated Hospital of Military Medical Sciences. Results: The endoscope found that this lesion had an invasion surrounding irregular ulcer type uplift of a diameter about 6.0 cm in anterior wall and the greater curvature of gastric antrum, wi