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Primary gastinc lymphoma
Author(s) -
Secco Giovanni B.,
Fardelli Roberto,
Campora Elisabetta,
Munizzi Francesco,
Aste Hugo,
Nicolò Guido
Publication year - 1993
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930540306
Subject(s) - medicine , lymphoma , histology , stage (stratigraphy) , chemotherapy , surgery , lymph , stomach , gastroenterology , lesion , overall survival , disease , pathology , paleontology , biology
The records of 30 patients with primary gastric lymphoma and a minimum of 5 years of follow‐up were reviewed and clinical and pathologic prognostic factors analyzed. The overall 5‐year survival was 40% (median 23 months). No significant relationship between surgical and patient age, sex, duration of symptoms, macroscopic appearance, or size of the primary lesion or degree of serosal infiltration was demonstrated. Stage of disease and site of primary had an impact on prognosis. Survival was improved in patients with stage I–II disease ( P < 0.05) and in patients with primary located in the distal third of the stomach ( P < 0.05). Although histology in all three classifications did not correlate well with survival, patients with low‐grade lymphoma according to Kiel showed improved outcome ( P < 0.05). Five–year survival of 11 patients with positive lymph nodes, 6 of whom were treated with cytotoxic therapy, was 54% and comparable to that of 7 patients (56%) with no nodal involvement who did not receive chemotherapy after surgery. © 1993 Wiley‐Liss, Inc.