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Lymphoma of the Stomach: A Diagnostic and Therapeutic Problem

Lymphoma of the Stomach: A Diagnostic and Therapeutic Problem Abstract LYMPHOSARCOMA originating in the stomach presents the surgeon with an unusual and challenging problem. Although in the past it has accounted for only a small number of gastric neoplasms, it is currently being seen with increasing frequency. The prognosis for patients with these lesions appears to be much more favorable than for gastric adenocarcinoma (10.5%-66% five-year survival rate,1-5 as compared to 7%-27%6). However, the diagnosis is seldom made preoperatively and, in our experience, rarely correctly identified at surgery. Therefore, if our results with these lesions are to improve, it is imperative that the surgeon suspect the lesion, and effect proper treatment based on knowledge of its histopathology. We have reviewed the histories of patients with gastric lymphosarcoma seen at the Henry Ford Hospital with the purpose of improving our ability to make the correct diagnosis preoperatively, and to evaluate the treatment employed on the basis of a References 1. Snoddy, W. T.: Primary Lymphosarcoma of Stomach , Gastroenterology 20:537-553, 1952. 2. Redd, B. L.: Lymphosarcoma of Stomach , Amer J Roentgen 82:634-650, 1959. 3. Warren, K. W., and Littlefield, J. B.: Malignant Lymphomas of Gastrointestinal Tract , Surg Clin N Amer 35:735-746, 1955. 4. Jordan, G. L., et al: Sarcomas of Stomach , Surg Gynec Obstet 100:453-457, 1955. 5. Friedman, A. I.: Primary Lymphosarcoma of Stomach , Amer J Med 26:783-796, 1959.Crossref 6. Lumpkin, W. M., et al: Carcinoma of Stomach , Ann Surg 159:919-932, 1964.Crossref 7. Rebuck, J. W., and LoGrippo, G. A.: Characteristics and Interrelationships of Various Cells in RE Cell Macrophage Lymphocyte, and Plasma Cell Series in Man , Lab Invest 10:1068-1093, 1961. 8. Gall, E. A., and Mallory, T. B.: Malignant Lymphoma , Amer J Path 18:381-430, 1942. 9. Rebuck, J. W.: Lymphocyte and Lymphocytic Tissue , New York: Paul B. Hoeber, Division of Harper & Row Publishers, Inc., 1960. 10. Cook, J. C, and Corbett, D. P.: Roentgen Therapy of Primary Gastrointestinal Lymphoma , Radiology 78:562-569, 1962.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Lymphoma of the Stomach: A Diagnostic and Therapeutic Problem

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References (14)

Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1965.01320100024005
Publisher site
See Article on Publisher Site

Abstract

Abstract LYMPHOSARCOMA originating in the stomach presents the surgeon with an unusual and challenging problem. Although in the past it has accounted for only a small number of gastric neoplasms, it is currently being seen with increasing frequency. The prognosis for patients with these lesions appears to be much more favorable than for gastric adenocarcinoma (10.5%-66% five-year survival rate,1-5 as compared to 7%-27%6). However, the diagnosis is seldom made preoperatively and, in our experience, rarely correctly identified at surgery. Therefore, if our results with these lesions are to improve, it is imperative that the surgeon suspect the lesion, and effect proper treatment based on knowledge of its histopathology. We have reviewed the histories of patients with gastric lymphosarcoma seen at the Henry Ford Hospital with the purpose of improving our ability to make the correct diagnosis preoperatively, and to evaluate the treatment employed on the basis of a References 1. Snoddy, W. T.: Primary Lymphosarcoma of Stomach , Gastroenterology 20:537-553, 1952. 2. Redd, B. L.: Lymphosarcoma of Stomach , Amer J Roentgen 82:634-650, 1959. 3. Warren, K. W., and Littlefield, J. B.: Malignant Lymphomas of Gastrointestinal Tract , Surg Clin N Amer 35:735-746, 1955. 4. Jordan, G. L., et al: Sarcomas of Stomach , Surg Gynec Obstet 100:453-457, 1955. 5. Friedman, A. I.: Primary Lymphosarcoma of Stomach , Amer J Med 26:783-796, 1959.Crossref 6. Lumpkin, W. M., et al: Carcinoma of Stomach , Ann Surg 159:919-932, 1964.Crossref 7. Rebuck, J. W., and LoGrippo, G. A.: Characteristics and Interrelationships of Various Cells in RE Cell Macrophage Lymphocyte, and Plasma Cell Series in Man , Lab Invest 10:1068-1093, 1961. 8. Gall, E. A., and Mallory, T. B.: Malignant Lymphoma , Amer J Path 18:381-430, 1942. 9. Rebuck, J. W.: Lymphocyte and Lymphocytic Tissue , New York: Paul B. Hoeber, Division of Harper & Row Publishers, Inc., 1960. 10. Cook, J. C, and Corbett, D. P.: Roentgen Therapy of Primary Gastrointestinal Lymphoma , Radiology 78:562-569, 1962.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Apr 1, 1965

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