Verreet P R
Klinik für Allgemeine und Unfallchirurgie, Heinrich-Heine-Universität Düsseldorf.
Praxis (Bern 1994). 1996 Nov 5;85(45):1451-4.
To perform laparotomy in each histological sub-type of a primary gastric lymphoma with the intention of a total resection seems to be rather aggressive and should be seen with respect to other effective treatment modalities. But for curative treatment total gastrectomy with systematic lymphadenectomy or sampling respectively seem to be necessary. Classification is changing and there is an uncertainty about nature and dissemination of the tumor and even an uncertainty with respect to diagnosis. Basic informations become available only by standardized operative procedures. Multi-modal therapy planning is based on this knowledge but it has to hold up to clinical investigation such as the German multi-center trial. Preliminary data show an overall total resection rate of 88%.
对原发性胃淋巴瘤的每种组织学亚型进行剖腹手术以实现完全切除似乎相当激进，应结合其他有效治疗方式来考虑。但对于根治性治疗，全胃切除术分别联合系统性淋巴结清扫或取样似乎是必要的。分类在不断变化，肿瘤的性质和播散情况存在不确定性，甚至在诊断方面也存在不确定性。只有通过标准化的手术程序才能获得基本信息。多模式治疗方案基于这些知识制定，但必须经得起临床研究的检验，比如德国的多中心试验。初步数据显示总体完全切除率为88%。
