Domergue J, Bompar J M, Donadio D, Rouanet P, Pujol H
Val d'Aurelle, Paul Lamarque, C.R.L.C., Montpellier.
J Chir (Paris). 1988 Jan;125(1):17-20.
A total of 15 cases of primary gastric non-Hodgkin's malignant lymphoma (PGML) seen between 1974 and 1985 were reviewed, and data obtained combined with reports in the literature, to define the place of surgery in this affection becoming the monopoly of chemotherapists. The indication for surgery is indisputable when the diagnosis is in doubt, and justified for ulcerated and preperforating forms and in extirpable tumoral forms of loco malignancy. It should be avoided in high grade PGML unless the operation does not delay chemotherapy. Total gastrectomy should not be performed by principle but by necessity. Abdominal exploration should include lymph node and liver biopsies. An effective total care of these patients requires close cooperation between medical and surgical teams.
回顾了1974年至1985年间所见的15例原发性胃非霍奇金恶性淋巴瘤（PGML），并结合文献报道的数据，以确定手术在这种目前由化疗专家主导治疗的疾病中的地位。当诊断存疑时，手术指征是无可争议的，对于溃疡性和即将穿孔的类型以及可切除的局部恶性肿瘤形式，手术也是合理的。除非手术不延误化疗，否则在高级别PGML中应避免手术。原则上不应进行全胃切除术，除非有必要。腹部探查应包括淋巴结和肝脏活检。对这些患者进行有效的全面护理需要医疗团队和外科团队密切合作。
