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胃黏膜相关淋巴组织淋巴瘤的长期临床结局:一项单中心研究

[Long Term Clinical Outcomes of Gastric Mucosa-Associated Lymphoid Tissue Lymphoma: A Single Center Study].

作者信息

Koh Seong Hyun, Yeo Seung Hyun, Park Moo In, Jung Kyoungwon, Kim Sung Eun, Moon Won, Park Seun Ja

出版信息

Korean J Helicobacter Up Gastrointest Res. 2024 Mar;24(1):64-71. doi: 10.7704/kjhugr.2023.0051. Epub 2024 Mar 8.

Abstract

OBJECTIVES

Few studies have reported long-term follow-up after treatment of gastric mucosaassociated lymphoid tissue (MALT) lymphoma. In this single-center study, we investigated longterm treatment outcomes in patients diagnosed with gastric MALT lymphoma.

METHODS

The study included 80 patients diagnosed with gastric MALT lymphoma, who were followed up at a single center between January 2005 and December 2019 after eradication therapy, radiotherapy, or chemotherapy. We evaluated complete remission, improvement, or recurrence of the lesion. Follow-up over >60 months was classified as long-term follow-up, and the progression-free survival rate was recorded.

RESULTS

Following eradication treatment, complete remission occurred in 85.9% (55/64) of -positive and 50.0% (3/6) of -negative patients. All patients with gastric MALT lymphoma who did not respond to eradication therapy (100.0% [6/6]) achieved complete remission following administration of local radiotherapy. We observed no deaths on long-term follow-up (>60 months), and the progression-free survival was 101 months.

CONCLUSIONS

In this study, patients with gastric MALT lymphoma showed excellent survival rates, progression-free survival, and prognosis on long-term follow-up. Prospective studies are warranted to determine the long-term prognosis of gastric MALT lymphoma after treatment.

摘要

目的

很少有研究报道胃黏膜相关淋巴组织(MALT)淋巴瘤治疗后的长期随访情况。在这项单中心研究中,我们调查了诊断为胃MALT淋巴瘤患者的长期治疗结果。

方法

该研究纳入了80例诊断为胃MALT淋巴瘤的患者,他们于2005年1月至2019年12月在单一中心接受根除治疗、放疗或化疗后进行随访。我们评估了病变的完全缓解、改善或复发情况。随访超过60个月被归类为长期随访,并记录无进展生存率。

结果

根除治疗后,幽门螺杆菌阳性患者的完全缓解率为85.9%(55/64),幽门螺杆菌阴性患者为50.0%(3/6)。所有对根除治疗无反应的胃MALT淋巴瘤患者(100.0%[6/6])在接受局部放疗后均实现了完全缓解。我们在长期随访(>60个月)中未观察到死亡病例,无进展生存期为101个月。

结论

在本研究中,胃MALT淋巴瘤患者在长期随访中显示出优异的生存率、无进展生存期和预后。有必要进行前瞻性研究以确定胃MALT淋巴瘤治疗后的长期预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca92/11967530/d0844ce095da/kjhugr-2023-0051f1.jpg

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