Primary gastric lymphoma. Problems in staging and management.

Abstract:

:A retrospective review of 28 patients with primary gastric lymphoma was performed to determine the optimal treatment modality. The presenting signs and symptoms resembled peptic ulcer disease or gastric carcinomas. The majority of the lymphomas were of the diffuse histiocytic subtype. There was a 75 percent resectability rate in those patients operated on. Palliative resection produced a 5 year duration of survival of 28 percent and curative resection, 43 percent. Eighteen patients underwent a subtotal gastrectomy, and a total of 10 patients presented with stage I disease. The longest median duration of survival at last follow-up was 32 months for patients with stage IB disease compared with a median duration of survival of 8 months for those with stage III disease. Adjuvant radiotherapy and chemotherapy may improve survival after a curative resection is performed if there is serosal penetration or nodal involvement.

journal_name

Am J Surg

authors

Jones RE,Willis S,Innes DJ,Wanebo HJ

doi

10.1016/s0002-9610(88)80268-x

subject

Has Abstract

pub_date

1988-01-01 00:00:00

pages

118-23

issue

1

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(88)80268-X

journal_volume

155

pub_type

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