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33.胃的惡性腫瘤中,約有15%為惡性淋巴癌,即原發性胃淋巴瘤(primary gastric lymphoma)。以下相關的敘述中,何者正確?
(A)胃鏡檢查下胃惡性淋巴瘤和胃腺癌可清楚辨別,不需切片病理診斷
(B)絕大多數的原發性胃淋巴瘤為T-細胞淋巴瘤
(C)若為mucosa-associated lymphoid tissue(MALT)淋巴瘤,應考慮使用抗生素治療清除H. pylori
(D)若為high-grade、large-cell淋巴瘤,均應進行胃腫瘤及次全胃切除手術,再考慮化療,以避免發生腫瘤出血、阻塞或穿孔等合併症


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 【站僕】摩檸Morning:有沒有達人來解釋一下?
倒數 2天 ,已有 1 則答案
Chris 大二下 (2020/05/31):

A: The diagnosis of gastric lymphoma may be suggested by endoscopic and imaging findings, but must be confirmed by biopsy.

B: 

Extranodal marginal zone B cell lymphoma of mucosa (gut)-associated lymphoid tissue (MALT) type (previously called MALToma, MALT-type lymphoma, or MALT lymphoma) (38 to 48 percent)

Diffuse large B cell lymphoma (45 to 59 percent).

Mantle cell lymphoma (1 percent)

Follicular lymphoma (0.5 to 2 percent).
Peripheral T cell lymphoma (1.5 to 4 percent).

C: 
ManagementgastricMZL.gif#s-399,795
D:主要是化療

The-schema-of-treatment-of-gastric-DLBCL-in-our-study.png

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33.胃的惡性腫瘤中,約有15%為惡性淋巴癌,即原發性胃淋巴瘤(primary ..-阿摩線上測驗