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《Journal of Clinical and Pathological Research》 2015-07
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One case of clinicopathological analyses of gastric diffuse large B cell lymphoma to misdiagnosis as gastric cancer

ZHANG Jun;WEI Jianguo;XU Chunwei;WU Yongfang;WANG Huaitao;WANG Haiyan;ZHANG Bo;SHAO Yun;LI Xiaobing;Department of Pathology, Affiliated Hospital of Academy of Military Medical Sciences;Department of Pathology, Shaoxing People's Hospital;  
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, with central filthy fur, and it also had a violet blue blood scab. It was diagnosed as gastric antrum junction ulcerative carcinoma. After that, the biopsy and immunohistochemical results confirmed non-Hodgkin's lymphoma as the type, and it was considered as diffuse large B cell lymphoma. Conclusion: Clinical and pathological type of gastric diffuse large B cell lymphoma is rare, which is often misdiagnosed as poorly differentiated carcinoma cancer. We should strengthen the clinical and pathological features of gastric diffuse large B cell lymphoma awareness and careful analysis of the condition, in order to avoid or reduce misdiagnosis and mistreatment.
【CateGory Index】: R735.2
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