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黏膜相关淋巴组织结外边缘区淋巴瘤的临床特征。

Clinical features of extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue.

机构信息

Department of Internal Medicine and Clinical Immunology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.

出版信息

Hematol Oncol. 2012 Dec;30(4):186-9. doi: 10.1002/hon.2006. Epub 2012 Jan 27.

Abstract

We newly diagnosed 131 patients with extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue lymphoma between 1998 and 2010. We retrospectively studied 124 patients for whom complete clinical data were available at presentation and who had minimally undergone tumour staging by physical examination, computed tomography (CT), bone marrow aspiration, and biopsy. A slight female predominance (men, 58; women, 66) was observed in the study population; the median age was 67 years. The primary locations at presentation were the stomach (38%), orbita (20%), lung (12%), intestinal tract (8%), thyroid gland (6%), others (14%), and unknown (2%). Seventy per cent of patients had localized disease. Of the 124 patients, 14 (11%) had lymph node involvement, and 5 (4%) had bone marrow involvement. Five (4%) patients had both lung and gastric involvement. The 5-year overall survival rate for the 124 patients was 96.1%. The overall vital prognosis was excellent. Moreover, gastro-intestinal fiberscopic examination is essential, especially in cases with lung involvement at presentation.

摘要

我们于 1998 年至 2010 年间新诊断了 131 例结外黏膜相关淋巴组织边缘区淋巴瘤患者。我们回顾性研究了 124 例患者,这些患者在就诊时具有完整的临床资料,并且仅通过体格检查、计算机断层扫描 (CT)、骨髓抽吸和活检进行了肿瘤分期。研究人群中观察到女性略占优势(男性 58 例,女性 66 例);中位年龄为 67 岁。就诊时的主要部位为胃 (38%)、眼眶 (20%)、肺 (12%)、肠道 (8%)、甲状腺 (6%)、其他部位 (14%)和未知部位 (2%)。70%的患者为局限性疾病。在 124 例患者中,14 例 (11%)有淋巴结受累,5 例 (4%)有骨髓受累。5 例 (4%)患者同时有肺部和胃部受累。124 例患者的 5 年总生存率为 96.1%。总体生存预后极佳。此外,胃肠道纤维内镜检查至关重要,尤其是在就诊时存在肺部受累的情况下。

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