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首页> 美国卫生研究院文献>Clinical Endoscopy >A Polypoid Mucosa-Associated Lymphoid Tissue Lymphoma of the Stomach Treated with Endoscopic Polypectomy
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A Polypoid Mucosa-Associated Lymphoid Tissue Lymphoma of the Stomach Treated with Endoscopic Polypectomy

机译：内镜下息肉切除术治疗的胃息肉样粘膜相关淋巴样组织淋巴瘤

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Mucosa-associated lymphoid tissue (MALT) lymphoma of the stomach is the most common extranodal lymphoma of the gastrointestinal tract. It is usually accompanied by Helicobacter pylori infection, and eradication of H. pylori remains the mainstay of treatment for gastric MALT lymphoma. However, there is no consensus on the second-line treatment for patients with gastric MALT lymphoma who do not improve after successful H. pylori eradication. Here, we report the case of a 34-year-old woman who presented with a polypoid type of gastric MALT lymphoma on the greater curvature side of the upper body. Despite successful H. pylori eradication, the tumor did not regress after 6 months. Because the tumor had a semipedunculated polypoid morphology, gastric polypectomy was implemented as a second-line treatment. No recurrence occurred during the 3-year follow-up period. We suggest that gastric polypectomy be considered an alternative treatment modality for polypoid gastric MALT lymphoma that is unresponsive to H. pylori eradication.
机译：胃黏膜相关淋巴样组织（MALT）淋巴瘤是胃肠道最常见的结外淋巴瘤。它通常伴有幽门螺杆菌感染，根除幽门螺杆菌仍然是治疗胃MALT淋巴瘤的主要手段。但是，对于成功根除幽门螺杆菌后仍未改善的胃MALT淋巴瘤患者，二线治疗尚无共识。在此，我们报道了一名34岁女性的病例，该女性在上半身的较大曲率侧出现了息肉样的胃MALT淋巴瘤。尽管成功地根除了幽门螺杆菌，但肿瘤在6个月后并未消退。由于肿瘤具有半突状息肉样形态，因此，将胃息肉切除术作为二线治疗。在3年的随访期内未发生复发。我们建议将胃息肉切除术视为对根除幽门螺杆菌无反应的息肉样胃MALT淋巴瘤的另一种治疗方式。

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