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目的 探讨胃恶性淋巴瘤的诊治方法。方法 1986年 1月～ 1995年 12月收治 18例胃恶性淋巴瘤 ,其中Ⅰ期 5例 ,Ⅱ期 7例 ,Ⅲ期 4例 ,Ⅳ期 2例。全部经剖腹探查及病理检查证实。病变完全切除者 15例 ,部分切除者 3例 ,全部患者术后辅以CHOPE(环磷酰胺、三尖杉酯碱、强的松、长春新碱、鬼臼乙茶甙 )化疗。结果 随访率 88.9% ,全组总的 5年生存率为 6 8.8% (11/ 18)。结论 内窥镜下活检最具确诊价值 ,治疗以手术作为首选 ,辅以化疗
Objective To investigate the diagnosis and treatment of gastric malignant lymphoma. Methods From January 1986 to December 1995, 18 cases of gastric malignant lymphoma were treated, including 5 cases of stage Ⅰ, 7 cases of stage Ⅱ, 4 cases of stage Ⅲ and 2 cases of stage Ⅳ. All laparotomy and pathological examination confirmed. Complete lesion in 15 cases, partial resection in 3 cases, all patients were supplemented with CHOPE (cyclophosphamide, harringtonine, prednisone, vincristine, Podophytopatin) chemotherapy. Results The follow-up rate was 88.9%. The overall 5-year overall survival rate was 6 8.8% (11/18). Conclusions Endoscopic biopsy has the most definite value. Surgical treatment is the first choice, supplemented with chemotherapy