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Treatment and Prognosis of Primary Intestinal Lymphoma―A Retrospective Analysis of 113 Patients Shotaro Nakamura 1 , Takayuki Matsumoto 1 , Shigeo Nakamura 1 , Hiroshi Suekane 2 , Morishige Takeshita 3 , Motohiro Esaki 1 , Shinichiro Yada 1 , Yukihiko Jo 1 , Takashi Yao 4 , Mitsuo Iida 1 1Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University 2Department of Internal Medicine, Yamaguchi Red Cross Hospital 3Department of Pathology, School of Medicine, Fukuoka University 4Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University Keyword: 腸管リンパ腫 , MALTリンパ腫 , enteropathy , 非外科的治療 , 化学療法 pp.323-337
Published Date 2006/3/25
DOI https://doi.org/10.11477/mf.1403100288
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 To investigate the influence of therapeutic modalities on the prognosis of patients with primary intestinal lymphoma, we retrospectively analyzed 113 patients, comprised of 33 with MALT lymphoma, 9 with follicular lymphoma, 2 with mantle cell lymphoma, 46 with diffuse large B-cell lymphoma, 7 with Burkitt lymphoma, 3 with lymphoblastic lymphoma, and 13 with T-cell lymphoma. Neither overall survival (OS) nor event-free survival (EFS) differed between patients who underwent non-surgical treatment (eradication, chemotherapy or radiotherapy ; n=23) and those treated by surgery (n=90). Cox multivariate analysis revealed that T or B cell phenotype and clinical stage were independent prognostic factors for both OS and EFS. Multiple involvement of the intestine was also an independent prognostic factor for EFS, but not for OS. At present, a combination of surgical resection and chemotherapy seems to be the standard therapeutic modality for intestinal lymphoma. However, prospective studies with a large number of patients are still needed to evaluate the efficacy of non-surgical treatment for this disease.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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