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首页> 外文期刊>World Journal of Gastroenterology >Endoscopic findings and pathologic characteristics of gastric eosinophilic granuloma: a report of 18 patients.
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Endoscopic findings and pathologic characteristics of gastric eosinophilic granuloma: a report of 18 patients.

机译:胃嗜酸性肉芽肿的内镜检查结果和病理特征:18例患者的报告。

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AIM: To investigate the endoscopic findings and patholo-gic characteristics of gastric eosinophilic granuloma (GEG). METHODS: A retrospective study of 18 cases of gastric eosinophilic granulomas was conducted. Gastroscopy was performed and all specimens of biopsies were stained by HE and observed under light microscopy. RESULTS: Ulcer was the most frequent endoscopic appearance. The others included deformed pylorus and/or duodenal bulb, esophagitis, mucous hyperemia and/or mucosal erosion. Eosinophilic cell infiltration and generous hyperplasia of arterioles, venules and lymph vessels were found in the lesions of the patients. Interstitium had massive eosinophilic infiltrates and was made up of collagen fibers and fibroblasts. Lymphoid follicles were revealed in some sections of biopsies. CONCLUSION: GEG is lack of specific symptoms and physical signs. It can be misdiagnosed as gastric ulcer in most cases before biopsies. Endoscopy and endoscopic multiple deep biopsies in suspected areas are indispensable for correct diagnosis of GEG.
机译:目的:探讨胃嗜酸性粒细胞肉芽肿(GEG)的内镜检查结果和病理特征。方法:回顾性分析18例胃嗜酸性肉芽肿。进行胃镜检查,所有活检标本均用HE染色并在光学显微镜下观察。结果:溃疡是最常见的内窥镜检查。其他包括变形的幽门和/或十二指肠球,食管炎,粘液充血和/或粘膜糜烂。在患者的病变中发现嗜酸性细胞浸润和小动脉,小静脉和淋巴管的大量增生。间质具有大量嗜酸性浸润,由胶原纤维和成纤维细胞组成。在活检的某些部分发现了淋巴滤泡。结论:GEG缺乏特定的症状和体征。在活检之前,多数情况下可将其误诊为胃溃疡。对于可疑区域的正确诊断,必须在可疑区域进行内窥镜检查和内窥镜多次深度活检。

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