Gastrointestinal lymphoma. A case for primary surgical resection

Journal Article · Wed Aug 01 04:00:00 EDT 1990 · Archives of Surgery (Chicago); (USA)

DOI:https://doi.org/10.1001/archsurg.1990.01410200030003· OSTI ID:6758786

Talamonti, M S; Dawes, L G; Joehl, R J; Nahrwold, D L ^[1]

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1. Northwestern Univ. Medical School, Chicago, IL (USA)

The cases of 42 consecutive patients with primary gastrointestinal lymphoma were reviewed to compare the risks and outcomes of different primary treatment modalities. Among patients with localized disease (stages I and II), 12 underwent complete tumor resection and 6 underwent radiation therapy; 5-year survival was 82% and 50%, respectively. Among patients with disseminated disease (stages III and IV), 6 underwent resection of the primary tumor followed by chemotherapy and 18 were treated with radiation and chemotherapy; 5-year survival was 81% and 6%, respectively. Five patients who did not undergo surgical resection before radiation therapy or chemotherapy developed severe life-threatening complications from their primary tumor. Surgical resection before the administration of other therapy should be performed when the patient is considered to be a surgical candidate and resection of the primary tumor is deemed feasible.

• OSTI ID: 6758786
• Journal Information: Archives of Surgery (Chicago); (USA), Journal Name: Archives of Surgery (Chicago); (USA) Vol. 125:8; ISSN 0004-0010; ISSN ARSUA
• Country of Publication: United States
• Language: English

Related Subjects

550600 -- Medicine
550603* -- Medicine-- External Radiation in Therapy-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
COMBINED THERAPY
DIGESTIVE SYSTEM
DISEASES
GASTROINTESTINAL TRACT
IMMUNE SYSTEM DISEASES
LYMPHOMAS
MEDICINE
NEOPLASMS
PATIENTS
SURGERY
SURVIVAL CURVES
THERAPY