Hartmann A, Roth S L
Klinik für Strahlentherapie und Radiologische Onkologie der Heinrich-Heine-Universität Düsseldorf.
Praxis (Bern 1994). 1996 Jun 4;85(23):765-70.
Primary gastric non Hodgkin's lymphoma is a localized disease, which tends to local recurrences. Local treatment by surgery and/or radiotherapy is adequate for small low malignant primary gastric lymphomas of stages IE and IIE. Larger tumors should be resected before radiotherapy and systemic treatment. Chemotherapy alone has its impact in high grade lymphomas and as adjuvant treatment for tumors < 5 cm. Prospective randomized studies are underway to establish the respective role of the treatment modalities. The radiotherapeutic technique for gastric lymphomas is outlined. The risk of blocking part of the tumor volume by shielding the kidneys is mentioned.
原发性胃非霍奇金淋巴瘤是一种局限性疾病，易于局部复发。对于IE期和IIE期的小的低恶性原发性胃淋巴瘤，手术和/或放疗的局部治疗就足够了。较大的肿瘤应在放疗和全身治疗前进行切除。单纯化疗对高级别淋巴瘤有作用，也可作为直径<5 cm肿瘤的辅助治疗。正在进行前瞻性随机研究以确定各种治疗方式的各自作用。本文概述了胃淋巴瘤的放射治疗技术。提到了因保护肾脏而遮挡部分肿瘤体积的风险。
