Primary gastric lymphoma: a clinicopathologic study

ABSTRACT

Seventy-six cases of primary gastric lymphoma treated between January 1980 and December 2001 were reviewed. All tissue specimens [endoscopic or surgically resected] were reexamined. Tumors were staged according to Ann Arbor staging system and the Muss-Hoff modification [IE in 30.3%, IIE in 39.4% and IIIE in 30.3%]. Sixty patients underwent gastrectomy [partial or total] with postoperative chemotherapy for 32 patients. Sixteen patients were treated by chemotherapy only. The mean follow up period was 15 years [range 6 months to 21 years]. The study concluded that primary gastric lymphoma is not uncommon tumor. Gastritis-like lesions are rare. If the tumor is resectable, gastrectomy provides the most accurate means of diagnosis, staging and locoregional control of the disease