Role of surgery in the management of primary lymphoma of the gastrointestinal tract

Law, Michael M.; Williams, Susan B.; Wong, Jan H.

doi:10.1002/(sici)1096-9098(199603)61:3<199::aid-jso7>3.0.co;2-6

Cited by 17 publications

(3 citation statements)

References 20 publications

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“…Some have reported better survival with resection and adjuvant treatment compared to chemotherapy alone in this setting. 29,30 In the other series of PCL, the majority of patients underwent surgical resection. 11,12,14,22 Several authors believe that surgical resection: (1) provides important prognosis information, including histology, tumor extent, and stage; (2) may offer a chance for cure with or without adjuvant therapy; and (3) prevents complications such as hemorrhage, obstruction, or perforation.…”

Section: Discussionmentioning

confidence: 99%

Primary Colorectal Lymphoma—Clinical Outcomes in a Population-Based Series

Drolet

MacLean

Stewart

et al. 2011

Journal of Gastrointestinal Surgery

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Section: Discussionmentioning

confidence: 99%

Primary Colorectal Lymphoma—Clinical Outcomes in a Population-Based Series

Drolet

MacLean

Stewart

et al. 2011

Journal of Gastrointestinal Surgery

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“…There is only minor evidence [23], that eradication of Helicobacter pylori is beneficial in other than gastric lymphoma. Resection still is the predominant treatment for duodenopancreatic lymphoma [24,25] as for any duodenopancreatic tumour of suspected malignancy, due to the lack of clinical data on medical treatment options, and, of course due to the difficulties of finding a preoperative diagnosis as well. It is another "dilemma" for surgeons [26] that the decision whether to resect or not to resect such a tumour often has to be made without a definite histopathologic diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Tracking Down Duodenopancreatic Malignancy

Samel-Westerhof

Samel²,

Back³

et al. 2000

HPB Surgery

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Background Malignant tumours of the duodenum are rare and often difficult to diagnose. Due to the small clinical experience with duodenal malignancies their prognosis is unknown and resection is the treatment of choice. Case report Adding to a small series of incidental tumours, we report the case of a 65-year-old patient with primary extranodal (MALT-) lymphoma of the duodenum infiltrating the pancreatic head. The patient was admitted because of anaemia and epigastric discomfort with a history of Helicobacter- pylori associated gastric ulceration. Physical examination and bloodchemical values were otherwise normal. Endoscopy revealed duodenal ulceration but the biopsies taken from the ulceration did not give any evidence of malignancy or residual Helicobacter pylori infection. But MRT showed a circular intramural tumour of the duodenum. On laparotomy a large duodenal tumour adherent to the pancreatic head was found and a Whipple procedure was performed. Conclusion Apart from describing the case of a rare lymphoproliferative disorder of the duodenum, this report illustrates the diagnostic difficulties with uncommon neoplasm's of the duodenopancreatic region and the value of MRT prior to resection of a duodenopancreatic mass.

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“…There were two reports in 1983 and 1993 mentioning the frequency of occurrence of spontaneous perforation having been 4.0% and 4.2%, respectively 4 5. However, Law et al 6 did not find any spontaneous perforations in their 61 cases of patients with malignant gastric lymphoma. Patients in the Western country reached their peak of vulnerability to spontaneous perforation in their 60s; however, the incidence seen at younger ages, mean 56 years old in Japan.…”

Section: Introductionmentioning

confidence: 95%

Malignant gastric lymphoma with spontaneous perforation

2013

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SummaryMalignant gastric lymphoma, accounting only for 1% of primary gastric carcinoma, is usually a diffuse large B-cell lymphoma. Toyota et al reported that 37% of gastric perforations involved malignancy, generally gastric carcinoma. Fukuda et al found that less than 5% of malignant gastric lymphomas perforate. While it is relatively well known that perforations often take place during chemotherapy, they are rare in patients not receiving chemotherapy. To our knowledge, spontaneous perforation is rare in gastric malignant lymphoma, having been reported in the Japanese literature only 26 times, including this case, in the last 25 years. BACKGROUND

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Role of surgery in the management of primary lymphoma of the gastrointestinal tract

Cited by 17 publications

References 20 publications

Primary Colorectal Lymphoma—Clinical Outcomes in a Population-Based Series

Primary Colorectal Lymphoma—Clinical Outcomes in a Population-Based Series

Tracking Down Duodenopancreatic Malignancy

Malignant gastric lymphoma with spontaneous perforation

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