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原发性胃恶性淋巴瘤的临床特点和外科治疗
引用本文:冯勇,孙现军,吴志先,刘学智,马恒. 原发性胃恶性淋巴瘤的临床特点和外科治疗[J]. 中华肿瘤防治杂志, 2003, 10(8): 852-853
作者姓名:冯勇  孙现军  吴志先  刘学智  马恒
作者单位:1. 寿光市人民医院普外科,山东,寿光,262700
2. 山东省肿瘤医院普外科,山东,济南,250117
摘    要:目的 :探讨原发性胃恶性淋巴瘤的临床特点和治疗。方法 :回顾性分析 2 1例原发性胃恶性淋巴瘤的诊治情况。结果 :2 1例中术前经胃镜活检确诊 7例 ,确诊率仅为 33 3% ,手术切除 2 0例 ,行全胃切除 12例 ,胃大部切除 8例 ,剖腹探查 1例 ,5年生存率为 5 7 1%。结论 :原发性胃恶性淋巴瘤术前确诊以胃镜活检为主要手段 ,但确诊率仍待提高。治疗以手术切除为主 ,术前辅助化疗有助于晚期肿瘤的手术切除

关 键 词:淋巴瘤/诊断  胃肿瘤/诊断  淋巴瘤/治疗  胃肿瘤/治疗  化学疗法  辅助
文章编号:1009-4571(2003)08-0852-02
修稿时间:2003-01-05

Clinical Characteristics and Treatment of Primary Gastric Malignant Lymphoma
FENG Yong,SUN Xian-jun,WU Zhi-xian,et al.. Clinical Characteristics and Treatment of Primary Gastric Malignant Lymphoma[J]. Chinese Journal of Cancer Prevention and Treatment, 2003, 10(8): 852-853
Authors:FENG Yong  SUN Xian-jun  WU Zhi-xian  et al.
Affiliation:FENG Yong,SUN Xian-jun,WU Zhi-xian,et al.Department of General Surgery,Shouguang People's Hospital,Shouguang 262700,China
Abstract:Objective To study the clinical characteristics and treatment of primary gastric malignant lymphoma(PGML).Methods The data of 21 cases of PGML were retrospectively analyzed.Results Only 7 of 21 cases diagnosed confirmedly before operation by gastroendoscopy and biopsy, the preoperative confirmed diagnostic rate was 33.3%.Twenty patients were curatively resected without any postoperative complication and 1 was unresectable.The 5-year survival rate was 57.1%.Conclusion The diagnosis of PGML was mainly by the gastroendoscopy and biopsy,but the rate of confirmed diagnosis was still need to be improved.Surgical operation was the most effective treatment manner and preoperative adjuvant chemotherapy was necessary.
Keywords:lymphoma/diagnosis  stomach neoplasms/diagnosis  lymphoma/therapy  stomach/therapy  chemotherapy  adjuvant
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