Fujishima H, Misawa T, Maruoka A, Chijiiwa Y, Sakai K, Nawata H
Third Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Am J Gastroenterol. 1991 Jun;86(6):719-24.
The usefulness of endoscopic ultrasonography (EUS) was assessed for diagnosing the depth of invasion in the gastric wall, the infiltration to the adjacent organs, and detecting regional lymph node involvement in primary gastric lymphoma. EUS was performed in 11 patients with primary gastric lymphoma who subsequently underwent gastrectomy with lymph node dissection, as well as chemotherapy in some cases. EUS findings showed a good correlation with the histopathology of the resected specimens. An accurate diagnosis of the depth of invasion into the gastric wall was made in 10 of 11 patients using the same T grade of the 1987 TNM system for gastric carcinoma. EUS also clearly visualized the reduction of depth of tumor invasion in two patients who underwent chemotherapy. Perigastric lymph node involvement could be detected accurately in nine of 11 patients. In conclusion, EUS is an excellent and sensitive diagnostic modality for the preoperative staging and follow-up of primary gastric lymphoma.
评估了内镜超声检查（EUS）在诊断原发性胃淋巴瘤胃壁浸润深度、邻近器官浸润及区域淋巴结受累情况方面的实用性。对11例原发性胃淋巴瘤患者进行了EUS检查，这些患者随后接受了胃切除术及淋巴结清扫术，部分患者还接受了化疗。EUS检查结果与切除标本的组织病理学表现具有良好的相关性。采用1987年胃癌TNM系统相同的T分级，11例患者中有10例对胃壁浸润深度做出了准确诊断。EUS还清晰显示了2例接受化疗患者肿瘤浸润深度的减小。11例患者中有9例能够准确检测到胃周淋巴结受累情况。总之，EUS是原发性胃淋巴瘤术前分期及随访的一种优秀且敏感的诊断方法。
