PROGNOSTIC FACTORS IN MALIGNANT LYMPHORETICULAR TUMORS OF THE SMALL BOWEL AND ILEOCECAL REGION - REVIEW OF 50 CASE HISTORIES

被引:14
作者
COX, JD
机构
[1] Division of Therapeutic Radiology, The Medical College of Wisconsin, Milwaukee, WI 53226
来源
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS | 1979年 / 5卷 / 02期
关键词
Cecum; Ileum; Jejunum; Malignant lymphoma; Radiotherapy; Surgery;
D O I
10.1016/0360-3016(79)90718-1
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Malignant lymphoreticular tumors (MLT) of the small bowel and ileocecal region constitute a quarter of all MLT in children, but are much less frequent in adults. Lesions that occur in young people are mostly ileocecal, and are undifferentiated cytologically. Older patients have a more even distribution along the small bowel and the tumors are predominantly histiocytic. There are no differences in survival between younger and older patients, but the young have a higher proportion of localized tumors (Stage I). The site of presentation along the bowel has no prognostic significance. Para-aortic node involvement has no greater significance than regional mesenteric spread. It is important to add large field or whole abdominal irradiation to the most complete resection possible. Chemotherapy plays a role in patients with Stages III and IV disease, but there is not sufficient benefit to recommend cytotoxic drugs as adjuvants in more limited disease. Patients who are alive and well 15 months or more after treatment remain free of disease. © 1979.
引用
收藏
页码:185 / 190
页数:6
相关论文
共 18 条
[1]   PRIMARY MALIGNANT LYMPHOMA OF THE GASTRO-INTESTINAL TRACT [J].
ALLEN, AW ;
DONALDSON, G ;
SNIFFEN, RC ;
GOODALE, F .
ANNALS OF SURGERY, 1954, 140 (03) :428-438
[2]   PRIMARY LYMPHOMA OF GASTROINTESTINAL TRACT [J].
BUSH, RS ;
ASH, CL .
RADIOLOGY, 1969, 92 (06) :1349-&
[3]  
CARBONE PP, 1971, CANCER RES, V31, P1860
[4]   IRRADIATION IN LOCAL CONTROL OF MALIGNANT LYMPHORETICULAR TUMORS (NON-HODGKINS MALIGNANT LYMPHOMA) [J].
COX, JD ;
KOEHL, RH ;
TURNER, WM ;
KING, FM .
RADIOLOGY, 1974, 112 (01) :179-185
[5]  
CUTLER SJ, 1976, CLASSIFICATION STAGI, P29
[6]   PRIMARY MALIGNANT LYMPHOID TUMOURS OF THE INTESTINAL TRACT - REPORT OF 37 CASES WITH A STUDY OF FACTORS INFLUENCING PROGNOSIS [J].
DAWSON, IMP ;
CORNES, JS ;
MORSON, BC .
BRITISH JOURNAL OF SURGERY, 1961, 49 (213) :80-89
[7]  
FREEMAN C, 1972, CANCER, V29, P252, DOI 10.1002/1097-0142(197201)29:1<252::AID-CNCR2820290138>3.0.CO
[8]  
2-#
[9]  
FU Y, 1972, CANCER-AM CANCER SOC, V29, P645, DOI 10.1002/1097-0142(197203)29:3<645::AID-CNCR2820290318>3.0.CO
[10]  
2-4