Bendall M J, Sainsbury R
Postgrad Med J. 1982 Jun;58(680):382-3. doi: 10.1136/pgmj.58.680.382.
A man presented with what appeared clinically and histologically to be a benign gastric ulcer which healed with cimetidine. His condition subsequently deteriorated and a further endoscopy revealed a huge tumour in the body of the stomach with the histological appearances of non-Hodgkin's lymphoma. The presentation of non-Hodgkin's lymphoma in the elderly is discussed, together with the problem of gastriculcer healing by cimetidine in the presence of underlying malignancy.
一名男性患者临床表现及组织学检查均显示为良性胃溃疡,使用西咪替丁后溃疡愈合。但随后他的病情恶化,再次进行内镜检查发现胃体部有一个巨大肿瘤,组织学表现为非霍奇金淋巴瘤。本文讨论了老年人非霍奇金淋巴瘤的临床表现,以及存在潜在恶性肿瘤时西咪替丁治疗胃溃疡愈合的问题。