Dutta S C, Simons A J, Levine A M, Ryan M, Anthone G J, Beart R W
Department of Surgery, University of Southern California, Los Angeles, USA.
Dis Colon Rectum. 1996 Feb;39(2):167-70. doi: 10.1007/BF02068071.
Incidence of non-Hodgkin's lymphoma (NHL) has shown a dramatic increase, concurrent with the epidemic of acquired immunodeficiency syndrome (AIDS). In terms of surgical intervention, management of the patient with AIDS-NHL remains unclear. Purpose of this paper was to determine the role and outcome of surgical intervention in patients with AIDS-NHL of the gastrointestinal (GI) tract.
Data were obtained by retrospective chart review.
From 1980 to 1993, charts of 22 patients with diagnosis of AIDS-NHL of the GI tract who underwent either biopsy or surgical procedure were reviewed. All patients were male, with a mean age of 35.7 years. Sixty-seven biopsies were performed in the 22 patients identified. No morbidity or mortality was associated with any of the biopsy procedures. Major intra-abdominal operations were performed in eight patients, including seven who underwent primary resections of lymphomas. Mean survival for the group as a whole was 18 months, although that for the seven patients undergoing resection was 20.4 months.
Diagnosis of AIDS-NHL of the GI tract should not discourage performance of otherwise appropriate surgical procedures.
