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KMID : 0362919840020010093
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Journal of the Korean Society for Therapeutic Radiology and Oncology
1984 Volume.2 No. 1 p.93 ~ p.100
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Localized Primary Gastrointestinal Lymphomas
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Suh Chang-Ok
Kim Gwi-Eon
Park Chang-Yun
Kim Byung-Soo
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Abstract
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Among 238 patients Non-Hodgkin’s lymphoma received radiotherapy at Yonsei Cancer center, Yonsei University Medical College, from 1970 to 1981, 30 patients presented with localized(Stage Ⅰ & Ⅱ) gastrointestinal lymphomas.
Retrospective analysis of these 30 cases in an attempt to evaluate the influence of various prognostic factors and the effectiveness of therapy is presented. Overall 5 year survival rate of 30 cases of primary gastrointestinal lymphoma was 48%. Bulk of residual disease after initial surgery and stage were significant prognostic factors. Stage Ⅰ with small residual disease treated with post-op irradiation achieved 100% 5 year survival rate. So above group is considered curable with surgery and post-op irradiation. 80% of Stage Ⅱ with small residual disease showed 31.5% 5 year survival rate. Non of them died with local failure.
So, we suggest that complete surgical resection of tumor mass should be attempted initially in the management of localized gastrointestinal lymphomas and systemic chemotherapy is needed in addition to post-op irradiation in the cases of Stage Ⅱ and large residual disease after initial surgery.
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KEYWORD
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