Mandarano R, Ciccone A, Natale A, Sereni P
Presidio Ospedaliero USL n. 22, Sansepolcro U.O. Chirurgia Generale.
Minerva Chir. 1990;45(13-14):977-80.
The Authors describe a case of primary rectal lymphoma. The primitive involvement of this area is infrequent. The Authors emphasize the difficulty of preoperative diagnosis. The therapeutic approach should allow for correct staging which is only obtained by means of diagnostic studies aimed at excluding multicentric localisation. Sensitivity to radiotherapy has led the Authors to propose it as primary treatment, at least in stage I; surgery must be considered elective in stage II or in cases of need. Chemotherapy is indicated alone or in association with radiotherapy or surgery.
作者描述了一例原发性直肠淋巴瘤病例。该区域的原发性受累情况并不常见。作者强调了术前诊断的困难。治疗方法应能实现正确分期,而这只有通过旨在排除多中心定位的诊断性研究才能获得。对放疗的敏感性使作者建议将其作为主要治疗方法,至少在I期是如此;在II期或有需要的情况下,手术应被视为选择性治疗。化疗可单独使用,或与放疗或手术联合使用。