Leone V, Vinattieri R, Calabrese C, Fabbroni S, Lottini L, Bruno S
Divisione di Chirurgia Generale, USL n. 10/E, Ospedale O. Basilewsky, Firenze.
Minerva Chir. 1993 Feb;48(3-4):93-7.
From January 1974 to December 1990, 619 patients were submitted to surgical treatment for gastrointestinal carcinoma: 10 cases (1.61%) of non-Hodgkin's lymphomas were observed (4 of the stomach, 3 of the small intestine, 1 of the colon, 2 of the rectum). There were 5 men and 5 women, mean age 57.1 years (range 34-80). In 6 patients the diagnosis was performed with radiological investigations, in 4 with ultrasonography too. Endoscopy biopsy was unfit for diagnosis in the gastric localizations, while it was positive in both rectal localizations. Seven patients were operated and no postoperative morbidity or mortality was observed. The role of surgery is discussed, diagnosis for staging and therapy alone or associated with chemotherapy and/or radiotherapy.
1974年1月至1990年12月，619例患者接受了胃肠道癌手术治疗：观察到10例（1.61%）非霍奇金淋巴瘤（胃4例、小肠3例、结肠1例、直肠2例）。患者5男5女，平均年龄57.1岁（范围34 - 80岁）。6例患者通过放射学检查确诊，4例同时进行了超声检查。内镜活检不适用于胃部病变的诊断，而在直肠病变中均呈阳性。7例患者接受了手术，未观察到术后并发症或死亡。讨论了手术的作用、分期诊断以及单独或与化疗和/或放疗联合的治疗。
