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土耳其原发性结外非霍奇金淋巴瘤的临床病理特征及预后因素

Clinicopathologic features and prognostic factors of primary extranodal non-Hodgkin's lymphomas in Turkey.

作者信息

Arican A, Dinçol D, Akbulut H, Onur H, Demirkazik A, Cay F, Içli F

机构信息

Department of Medical Oncology, Baŝkent University, Faculty of Medicine, Ankara, Turkey.

出版信息

Am J Clin Oncol. 1999 Dec;22(6):587-92. doi: 10.1097/00000421-199912000-00009.

Abstract

Clinical, histopathologic, and prognostic features of 114 patients with primary extranodal non-Hodgkin's lymphoma were evaluated. Median age of the patients was 48 (range, 15-76) and the ratio of male/female was 55/59. Thirty-seven patients had stage 1, 55 patients stage II, 6 patients stage III, and 16 patients stage IV. The most common sites of primary extranodal non-Hodgkin's lymphoma were the gastrointestinal (GI) tract and head-neck region. Stomach (66%) and tonsils (33%) were the most frequently involved organ in GI tract and head-neck region, respectively. Eighty percent of patients had intermediate or high-grade lymphomas, 20% had low-grade subtypes. Complete remission was achieved in 83% of all patients with chemotherapy +/- radiotherapy +/- surgery. Overall and disease-free survival at 5 years were 63% and 59%, respectively. In conclusion, clinical and histopathologic characteristics and prognosis of our cases with primary extranodal non-Hodgkin's lymphoma were usually similar to those of the cases in Western countries with some differences in the incidence of some specific primary extranodal non-Hodgkin's lymphomas and in the histopathologic subtypes.

摘要

对114例原发性结外非霍奇金淋巴瘤患者的临床、组织病理学和预后特征进行了评估。患者的中位年龄为48岁(范围15 - 76岁),男女比例为55/59。37例患者为Ⅰ期,55例为Ⅱ期,6例为Ⅲ期,16例为Ⅳ期。原发性结外非霍奇金淋巴瘤最常见的部位是胃肠道和头颈部区域。胃(66%)和扁桃体(33%)分别是胃肠道和头颈部区域最常受累的器官。80%的患者患有中或高级别淋巴瘤,20%患有低级别亚型。所有患者中83%通过化疗±放疗±手术实现了完全缓解。5年总生存率和无病生存率分别为63%和59%。总之,我们原发性结外非霍奇金淋巴瘤病例的临床和组织病理学特征及预后通常与西方国家的病例相似,但在某些特定原发性结外非霍奇金淋巴瘤的发病率和组织病理学亚型方面存在一些差异。

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