Kerin M, Waldron R, O'Farrell D, McAnena O J, Callaghan J, Given H F
Ir Med J. 1989 Dec;82(4):163-4.
The histological subgroups of primary gastric tumours presenting to one surgical unit over two successive six year periods were analysed and the therapeutic value of gastric resection assessed. An increased incidence of gastric lymphoma (13% relative to 5%) occurred in the second six year period. This increase could not be attributed to improved morphological or histochemical techniques. The diagnosis of lymphoma was confirmed preoperatively in 13 (94%) of the 14 patients by a combination of multiple endoscopic biopsies and brush cytology. Five of the six patients who underwent a potentially curative resection are tumour free at a mean follow-up of four years. Histological grading, whether high or low, had no bearing on survival. Gastric lymphoma is increasing in incidence and should be considered in the evaluation of gastric tumours as surgical resection at present offers the best prospect of long term survival.
对在两个连续的六年期间就诊于同一外科单位的原发性胃肿瘤的组织学亚组进行了分析，并评估了胃切除术的治疗价值。在第二个六年期间，胃淋巴瘤的发病率有所增加（相对于5%升至13%）。这种增加不能归因于形态学或组织化学技术的改进。14例患者中有13例（94%）通过多次内镜活检和刷检细胞学检查相结合的方法在术前确诊为淋巴瘤。接受了可能治愈性切除的6例患者中有5例在平均四年的随访中无肿瘤。组织学分级无论是高还是低，对生存率均无影响。胃淋巴瘤的发病率正在上升，在评估胃肿瘤时应予以考虑，因为目前手术切除提供了长期生存的最佳前景。
