This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (59)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

A Case for Primary Surgical Resection

Mark S. Talamonti, MD; Lillian G. Dawes, MD; Raymond J. Joehl, MD; David L. Nahrwold, MD

Arch Surg. 1990;125(8):972-977.

Abstract
• The cases of 42 consecutive patients with primary gastrointestinal lymphoma were reviewed to compare the risks and outcomes of different primary treatment modalities. Among patients with localized disease (stages I and II), 12 underwent complete tumor resection and 6 underwent radiation therapy; 5-year survival was 82% and 50%, respectively. Among patients with disseminated disease (stages III and IV), 6 underwent resection of the primary tumor followed by chemotherapy and 18 were treated with radiation and chemotherapy; 5-year survival was 81% and 6%, respectively. Five patients who did not undergo surgical resection before radiation therapy or chemotherapy developed severe life-threatening complications from their primary tumor. Surgical resection before the administration of other therapy should be performed when the patient is considered to be a surgical candidate and resection of the primary tumor is deemed feasible.

(Arch Surg. 1990;125:972-977)

Author Affiliations
From the Department of Surgery, Northwestern University Medical School, and the Surgical Service VA Lakeside Medical Center, Chicago, Ill.

Footnotes
Accepted for publication April 20, 1990.

Read before the 97th Annual Meeting of the Western Surgical Association, St Louis, Mo, November 13, 1989.

Reprint requests to the Department of Surgery, Northwestern University Medical School, 250 E Superior St, Suite 201, Chicago, IL 60611 (Dr Dawes).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Non-Hodgkin's Lymphoma of Mucosa-Associated Lymphoid Tissue
Cohen et al.
The Oncologist 2006;11:1100-1117.
ABSTRACT | FULL TEXT  

Primary Cancers of the Small Bowel: Analysis of Prognostic Factors and Results of Surgical Management
Talamonti et al.
Arch Surg 2002;137:564-571.
ABSTRACT | FULL TEXT