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胃溃疡活检材料中念珠菌病的发病率及意义(作者译)

[Incidence and significance of candidiasis in biopsy material of gastric ulcers (author's transl)].

作者信息

Oehlert W, Preuss B

出版信息

Dtsch Med Wochenschr. 1980 Dec 19;105(51):1773-6. doi: 10.1055/s-2008-1070956.

Abstract

121 cases of candidiasis were histologically demonstrated in the course of histological studies of gastric mucosal biopsies in 20 401 patients. Infestation of necrotic tissue with Candida albicans was found exclusively in patients with gastric ulcer, ulcerating carcinoma or lymphoma. Candidiasis was twice as common in carcinoma as in non-carcinomatous gastric ulcer. In the majority of those patients with ulcer who also had Candida albicans mycosis there was was at the same time atrophic or dysplastic gastric mucosa at the edge of the ulcer. Demonstration of candidiasis in biopsy material from gastric ulcer should thus be interpreted as suspicious of carcinoma, until and unless further studies confirm or exclude it.

摘要

在对20401例患者的胃黏膜活检组织学研究过程中,经组织学证实有121例念珠菌病。仅在胃溃疡、溃疡性癌或淋巴瘤患者的坏死组织中发现白色念珠菌感染。念珠菌病在癌患者中的发生率是非癌性胃溃疡患者的两倍。在大多数同时患有白色念珠菌病的溃疡患者中,溃疡边缘同时存在萎缩性或发育异常的胃黏膜。因此,在胃溃疡活检材料中发现念珠菌病应被视为怀疑有癌,除非进一步研究证实或排除。

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