Najman A, Gorin N C, Barranger C, Duhamel G
Nouv Presse Med. 1977 Nov 12;6(38):3515-9.
Gastro-intestinal involvement is a distinctive feature of non-Hodgkin's lymphomas. 31 cases are reported among 200 cases on NHL observed between 1960 and 1976. Multiple involvement appeared in 61%; a diffuse histological pattern is frequent (67%). The relapse of primary isolated gastro-intestinal localization (always) affected extra-digestive tissues (nodes, cavum). Chemotherapy is the mainstay of treatment COP, COAP and MOCA. Surgery is associated in localized involvement or in case of obstruction. High energy radiation therapy is indicated only in lymphosarcomas: -- to residual tumor after chemotherapy--in localized involvement diffuse on all the abdomen at 25 grays after surgery and a brief course of chemotherapy versus surgery and long course of chemotherapy alone.
胃肠道受累是非霍奇金淋巴瘤的一个显著特征。在1960年至1976年间观察的200例非霍奇金淋巴瘤病例中报告了31例。61%出现多处受累；弥漫性组织学模式很常见（67%）。原发性孤立性胃肠道定位的复发（总是）累及消化外组织（淋巴结、腔）。化疗是主要治疗方法，如COP、COAP和MOCA。手术适用于局限性受累或梗阻情况。高能放射治疗仅适用于淋巴肉瘤：——用于化疗后残留肿瘤——用于局限性受累，在手术后对全腹进行25格雷的弥漫性照射，并进行短期化疗，与单独手术和长期化疗相比。
