Localized Primary Gastrointestinal Lymphomas

Suh,  Chang Ok; Kim,  Gwi Eon; Park,  Chang Yun; Kim,  Byung Soo

J Korean Soc Ther Radiol > Volume 2(1); 1984 > Article

Original Article

Journal of the Korean Society for Therapeutic Radiology 1984;2(1): 93-100.

Localized Primary Gastrointestinal Lymphomas

Chang Ok Suh, Gwi Eon Kim, Chang Yun Park, Byung Soo Kim

Department of Radiology, Yonsei University Medical College, Korea.

ABSTRACT

Among 238 patients Non-odgkin'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-p irradiation achieved 100% 5 year survival rate. So above group is considered curable with surgery and post-p 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-p irradiation in the cases of Stage II and large residual disease after initial surgery.