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Primary intestinal non-Hodgkin's lymphona in children
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PEDIATRIC SURGERY
- Issue:
- 1
- DOI:
- 10.3760/cma.j.issn.0253-3006.2007.01.001
- Key Word:
- 淋巴瘤,非霍奇金氏;胃肠系统
Abstract： 目的 对我院8例原发性胃肠道非霍奇金淋巴瘤的临床资料进行分析,讨论其临床病理特点及手术对该病治疗的意义.方法 收集1989年1月至2006年5月在我院8例原发性胃肠道非霍奇金淋巴瘤的病例,结合文献对其临床表现、诊断、治疗及预后等进行总结分析.结果 8例均为经病理、免疫组化等检查确诊的胃肠道非霍奇金淋巴瘤,其中胃非霍奇金淋巴瘤2例,肠6例(小肠4例、回盲部2例).临床分期:Ⅱ期6例,Ⅲ期1例,Ⅱ期～Ⅲ期1例,病理免疫类型:8例均为B细胞性非霍奇金淋巴瘤.8例均行手术治疗,术后辅以联合化疗,方案为COP或CHOP.6例可随访,1例失随访,1例死亡,随访率75%.结论 小儿胃肠道非霍奇金淋巴瘤以B细胞性最多见,回盲部及近回盲部小肠最多见,直肠最少;本病术前诊断率较低,完整手术切除是原发性胃肠道非霍奇金淋巴瘤的治疗关键,不能完整切除的病例,活检术值得推荐,术后辅以化(放)疗及综合性治疗措施,可以提高患儿生存期.
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