Badone M, Fontana S, Langé A, Giudici M
Ospedale degli Infermi, Divisione di Medicina Generale B, U.S.S.L. n. 47, Biella, Vercelli.
Minerva Med. 1987 Nov 15;78(21):1591-6.
Eight cases of primary gastric lymphomas encountered in a series of 164 cases of extranodal NHL are analysed. The clinical aspects, the modality of onset and diffusion of the lymphoma, its macroscopic and histopathological features and the different therapeutic approaches are discussed. In particular while the distinction between localised and diffuse forms remains valid, it is pointed out that it is not always possible to treat the former by gastric resection, the latter by chemotherapy. In fact the choice of treatment will often be influenced by the patient's age, the presence of a bulk disease, the inoperability of the lymphoma and its degree of malignancy.
对164例结外非霍奇金淋巴瘤(NHL)中遇到的8例原发性胃淋巴瘤进行了分析。讨论了淋巴瘤的临床情况、发病和扩散方式、大体和组织病理学特征以及不同的治疗方法。特别是,虽然局限性和弥漫性形式之间的区分仍然有效,但指出前者并不总是可以通过胃切除术治疗,后者也不总是可以通过化疗治疗。事实上,治疗方法的选择往往会受到患者年龄、是否存在大包块病变、淋巴瘤是否无法手术切除及其恶性程度的影响。