原发性结肠恶性淋巴瘤15例诊治体会

Clinical Experience in Diagnosis and Treatment of 15Patients with Malignant Lymphoma of Colon

目的:探讨提高对原发性结肠恶性淋巴瘤的诊断水平及治疗方法。方法:回顾性总结1985年至1998年间15例原发性结肠恶性淋巴瘤诊断、治疗及随访结果。结果:随访10例手术加化疗或放疗患者,其中4例(40.00%)术后生存超过5年。2例(20.00%)超过10年,5例死于淋巴瘤复发,消化道出血,穿孔及中毒性休克。结论:采用正确的诊断手段,早期诊断手术切除加系统的化疗和放疗可提高对该病的诊断率及延长生存期。

Objective:To explore how to promote the diagnostic and therapeutic level of primary colonic malignant lymphoma(PCML).Methods:Fifteen patients with PCML admitted from1985to1998were analysed.Results:Four cases of them who underwent operation,chemothera-py or radiotherapy survived for more than5years,two case10years and5cases died of PCML recurrence,digestive tract bleeding,perforation and toxic shock.Conclusion:Early diagnosis and resection plus systemic chemotherapy or radiotherapy may impove the survival rate of patients.