Al-Amri Ali M
Department of Internal Medicine and Oncology, King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia.
Oman Med J. 2010 Oct;25(4):303-5. doi: 10.5001/omj.2010.87.
Planning for treatment of gastric adenocarcinoma in a patient previously treated with partial gastrectomy for primary gastric lymphoma is difficult. Long term survival of advanced gastric adenocarcinoma is poor with therapy and even worse without treatment. The only potentially curative treatment for gastric adenocarcinoma is surgical resection with adequate margins. Palliative surgery ameliorate symptoms in about 50% of patients Chemotherapy may play a lesser role. This report presents a case of gastric adenocarcinoma in a patient who had primary gastric lymphoma treated with partial gastrectomy. The patient is still alive 6 years after diagnosis with no signs of progression despite the fact that no active treatment was given.
对于一名曾因原发性胃淋巴瘤接受部分胃切除术的患者，规划其胃腺癌的治疗方案颇具难度。晚期胃腺癌即便接受治疗，长期生存率也很低，若不治疗则更差。胃腺癌唯一可能治愈的治疗方法是进行具有足够切缘的手术切除。姑息性手术可使约50%的患者症状得到改善，化疗的作用可能较小。本报告介绍了一例曾因原发性胃淋巴瘤接受部分胃切除术的胃腺癌患者。尽管未给予积极治疗，但该患者在确诊后6年仍存活，且无疾病进展迹象。
