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[Gastric lymphomas and pseudolymphomas]

R Chabloz, J C Givel, P Saraga

Helvetica Chirurgica Acta

|December 1, 1980

Summary

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This study analyzed 30 non-Hodgkin's gastric lymphoma cases, finding advanced stages and lymph node invasion significantly worsen prognosis. Treatment remains challenging, especially for diffuse histiocytic forms.

Area of Science:

Gastrointestinal Oncology
Hematopathology
Clinical Oncology

Context:

Retrospective analysis of 30 non-Hodgkin's gastric lymphoma cases over 21 years (1958-1979) at CHUV, Lausanne.
Classification according to Rappaport and staging using Ann Arbor criteria.

Purpose:

To describe the characteristics, staging, survival, and treatment outcomes of non-Hodgkin's gastric lymphomas.
To evaluate prognostic factors, including lymph node invasion and histological subtype.

Summary:

The cohort included various subtypes, with 56% presenting at advanced stages (IIIE, IVE). Five-year survival was 27%, with a mean survival of 5 months for deceased patients.
Lymph node invasion significantly impacted prognosis, particularly in non-ganglionary lymphomas. Diffuse histiocytic forms at advanced stages showed poor remission rates.

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Treatment strategies were not standardized; surgery for localized forms (IE) and triple therapy for advanced stages were suggested.

Impact:

Highlights the poor prognosis and limited treatment options for advanced non-Hodgkin's gastric lymphomas, particularly diffuse histiocytic types.
Underscores the need for standardized treatment protocols and further research into effective therapeutic strategies for this malignancy.
Provides historical data on gastric lymphoma management and outcomes, informing current clinical practice and research directions.