Primary gastric lymphoma: A review of 45 cases

Primary gastrointestinal lymphoma: 30‐year experience at the cancer institute, madras, india

“…The prevalence of bleeding, obstruction, and perforation at presentation was reported to occur in 10-30%, 8-22%, and 3-20% of patients, re- provides a reliable histologic diagnosis, accurate pathologic staging, and assessment of important prognostic data, and also because resection of the tumor results in improved survival and avoids the risk of life-threatening hemorrhage or perforation attendant on treating unresected tumors with CT or RT. Moreover, surgical resection alone can cure a significant number of patients, especially those with stage IE disease [9, 26,38,41,47,52,59,65,74,82,83]. Our study confirms the survival advantage provided by surgical resection.…”

“…The role of postoperative RT remains controversial. Several authors have reported improved patient survival with the addition of postoperative RT for early stage while others have found no advantage [27,61,65,71,82]. However, RT is consistently reported to improve local control of the disease [5, 19,38,65,81,83].…”

“…However, RT is consistently reported to improve local control of the disease [5, 19,38,65,81,83]. A comprehensive evaluation of the data published so far supports the view that combined surgery and CT are superior to surgery alone [6,14,15,19,27,28,45,52,55,[59][60][61]63,[65][66][67]69,71,74,80,82]. The rationale of adjuvant or complementary CT is based on the natural history of primary GI-NHL, in which 50% or more of relapses after surgery GI-NHL [5,6,8,10,26,3 1,38,40,59,72,77,8 1 ,83,84], * RT are extraabdominal [1,11,32,38,48,53,65,77], and the fact that high cure rates have been achieved with CT in diffuse histiocytic or diffuse large cell lymphomas [85,86], which is the most common subtype in primary GI-NHL.…”

Analysis of Failures after Whole Abdominal Irradiation in Gastrointestinal Lympomas

“…According to Busch et al [6] abdominal irradiation in localized stages was applied without inclusion of the inguinal lymph nodes. De la Torre Gonzalez et al [30] described in their retrospective analysis abdominal irradiation down to the "pubis" and Ravaioli et al [24] documented abdominal irradiation to the "lower border of the pubis".…”

Gastric B-cell mucosa associated lymphoid tissue lymphoma: a clinicopathological study in 56 patients.

“…Analysis of survival was calculated in only 15 of the 20 patients in the low grade group, in 9 of 11 in the mixed grade group, and in 21 of 25 with high grade lymphomas as 11 patients had either inadequate follow up or no treatment. The same methods were also used for the analysis of survival in patients treated with surgery, surgery plus chemotherapy, or chemotherapy alone.…”