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Primary gastric non-Hodgkin's lymphoma. A retrospective clinico-pathological study

Johnson, A ; Brun, E LU ; Akerman, M and Cavallin-Ståhl, E LU (1992) In Acta oncologica (Stockholm, Sweden) 31(5). p.31-525
Abstract

Prognostic factors and treatment results were analysed in 72 consecutive patients with primary gastric lymphoma treated between 1970 and 1985. There were 37 patients in stage IE, 17 in IIE, 3 in IIES and 15 in stage IV. Histopathological re-evaluation and classification according to the TNM system were performed. We found that disseminated disease (stage IV), serosal penetration (T3), involvement of adjacent organs (T4) and extensive abdominal lymph node involvement (N3) were poor prognostic factors. Neither histological malignancy grading, nor the appearance of lympho-epithelial lesions were significantly associated with relapse-free survival. Forty-six patients with 'limited localized' disease (stage IE, IIE, N3 excluded) received... (More)

Prognostic factors and treatment results were analysed in 72 consecutive patients with primary gastric lymphoma treated between 1970 and 1985. There were 37 patients in stage IE, 17 in IIE, 3 in IIES and 15 in stage IV. Histopathological re-evaluation and classification according to the TNM system were performed. We found that disseminated disease (stage IV), serosal penetration (T3), involvement of adjacent organs (T4) and extensive abdominal lymph node involvement (N3) were poor prognostic factors. Neither histological malignancy grading, nor the appearance of lympho-epithelial lesions were significantly associated with relapse-free survival. Forty-six patients with 'limited localized' disease (stage IE, IIE, N3 excluded) received potentially curative treatment (surgery, radiotherapy, chemotherapy or combinations thereof), of whom 85% remained relapse-free. Thirty-four patients did only get local treatment (surgery and/or radiotherapy) with curative potential, the relapse-free survival rate was 85%. We conclude that primary gastric lymphoma stage IE and IIE (N3 excluded) is often a truly localized disease that can be cured with local therapy.

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author
; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Adolescent, Adult, Aged, Female, Humans, Lymphoma, Non-Hodgkin/mortality, Male, Middle Aged, Retrospective Studies, Stomach Neoplasms/mortality, Survival Rate
in
Acta oncologica (Stockholm, Sweden)
volume
31
issue
5
pages
7 pages
publisher
Taylor & Francis
external identifiers
  • scopus:0026442684
  • pmid:1419098
ISSN
0284-186X
DOI
10.3109/02841869209088301
language
English
LU publication?
no
id
dbd54d11-da24-45c4-a1e9-eedee92e48de
date added to LUP
2019-07-01 14:08:19
date last changed
2024-01-01 15:06:18
@article{dbd54d11-da24-45c4-a1e9-eedee92e48de,
  abstract     = {{<p>Prognostic factors and treatment results were analysed in 72 consecutive patients with primary gastric lymphoma treated between 1970 and 1985. There were 37 patients in stage IE, 17 in IIE, 3 in IIES and 15 in stage IV. Histopathological re-evaluation and classification according to the TNM system were performed. We found that disseminated disease (stage IV), serosal penetration (T3), involvement of adjacent organs (T4) and extensive abdominal lymph node involvement (N3) were poor prognostic factors. Neither histological malignancy grading, nor the appearance of lympho-epithelial lesions were significantly associated with relapse-free survival. Forty-six patients with 'limited localized' disease (stage IE, IIE, N3 excluded) received potentially curative treatment (surgery, radiotherapy, chemotherapy or combinations thereof), of whom 85% remained relapse-free. Thirty-four patients did only get local treatment (surgery and/or radiotherapy) with curative potential, the relapse-free survival rate was 85%. We conclude that primary gastric lymphoma stage IE and IIE (N3 excluded) is often a truly localized disease that can be cured with local therapy.</p>}},
  author       = {{Johnson, A and Brun, E and Akerman, M and Cavallin-Ståhl, E}},
  issn         = {{0284-186X}},
  keywords     = {{Adolescent; Adult; Aged; Female; Humans; Lymphoma, Non-Hodgkin/mortality; Male; Middle Aged; Retrospective Studies; Stomach Neoplasms/mortality; Survival Rate}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{31--525}},
  publisher    = {{Taylor & Francis}},
  series       = {{Acta oncologica (Stockholm, Sweden)}},
  title        = {{Primary gastric non-Hodgkin's lymphoma. A retrospective clinico-pathological study}},
  url          = {{http://dx.doi.org/10.3109/02841869209088301}},
  doi          = {{10.3109/02841869209088301}},
  volume       = {{31}},
  year         = {{1992}},
}