原发性结肠恶性淋巴瘤(附14例分析)

CLINICAL ANALYSIS OF PRIMARY COLONIC LYMPHOMA (REPORT OF 14 CASES)

为探讨原发性结肠恶性淋巴瘤的诊断和治疗，回顾性分析了我院１９８３～１９９５年收治的１４例原发性结肠恶性淋巴瘤的临床资料。结果：１４例患者均行手术探查，其手术切除率为９３％，其中根治性手术达６９％，病理类型均属非何杰金氏淋巴瘤，其中Ｂ细胞瘤８例，Ｔ细胞瘤６例，５年生存率为３５．７％（５／１４）。因此，笔者认为：掌握本病临床表现是诊断的关键，治疗上应选择以手术为主的综合疗法。

To investigate the diagnosis and treatment of primary colonic malignant lymphoma. Retrospective analysis of 14 cases of primary colonic malignant lymphoma in our hospital from 1983 to 1995. Result: All patients were treated surgically. The resection rate was 93% and the radical operative rate was 69%. Their pathological types were all NHL including 9 cases of B cell lymphoma and 6 cases of T cell lymphoma. 5 year survival rate was 35.7%. Conclusion: grasping of clinical manifestations of this disease is important to diagnosis. The combined therapies with the surgical resection as the first selection are advocated. Immunohistochemistry classification is a sensitive index to prognosis.