Liu X F, Huang Y R
Cancer Hospital, Chinese Academy of Medical Sciences, Beijing.
Zhonghua Zhong Liu Za Zhi. 1987 Jul;9(4):298-301.
This paper reports 40 patients with primary gastric malignant lymphoma as proved by pathology and treated in our hospital from October 1958 to December 1984. There were 20 males and 20 females, including 3 Hodgkin's disease and 37 non-Hodgkin's lymphoma. The patients were treated by surgery, radiotherapy and chemotherapy separately or combined. In this series, the 5 and 10 year survival rates were 48.6% and 47.6%. The combination of surgery with postoperative radiotherapy and/or chemotherapy gave better results. In postoperative radiation to the whole abdomen, the tissue dose should not be less than 30-35 Gy. The incidence, diagnosis, clinical staging and the indication of primary gastric malignant lymphoma are discussed with a review of literature.
本文报告了1958年10月至1984年12月间在我院经病理证实并接受治疗的40例原发性胃恶性淋巴瘤患者。其中男性20例,女性20例,包括3例霍奇金病和37例非霍奇金淋巴瘤。患者分别接受了手术、放疗和化疗,或联合治疗。在这个系列中,5年和10年生存率分别为48.6%和47.6%。手术联合术后放疗和/或化疗效果更佳。全腹术后放疗时,组织剂量不应低于30-35 Gy。本文结合文献复习,对原发性胃恶性淋巴瘤的发病率、诊断、临床分期及治疗指征进行了讨论。