The role of surgical intervention in non-Hodgkin's lymphoma of the colon and rectum

被引:50
作者
Cai, Steven
Cannizzo, Francis, Jr.
Dunn, Kelli M. Bullard
Gibbs, John F.
Czuczman, Myron
Rajput, Ashwani
机构
[1] Roswell Pk Canc Inst, Dept Surg Oncol, Buffalo, NY 14263 USA
[2] SUNY Buffalo, Dept Surg, Buffalo, NY 14260 USA
[3] Baystate Med Ctr, Dept Surg, Springfield, MA 01107 USA
[4] Roswell Pk Canc Inst, Dept Med Oncol, Lymphoma & Myeloma Sect, Buffalo, NY 14263 USA
关键词
non-Hodgkin's lymphoma; colon; rectum; surgery;
D O I
10.1016/j.amjsurg.2006.12.007
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Gastrointestinal involvement of non-Hodgkin's lymphoma (NHL), although rare, may require surgical intervention. The purpose of the current study was to determine the incidence, presentation, and management of patients with NHL of the colon or rectum. Methods: Demographic data, signs, symptoms, disease stage, and treatment of patients with a primary gastrointestinal lymphoma treated between 1973 and 2005 were identified. Results: Forty-three of 244 gastrointestinal lymphoma patients (18%) had colon or rectal involvement. Most common symptoms on presentation were pain (49%), hematochezia (49%), change in bowel habits (23%), and weight loss (19%). Most common site of involvement was. the ileocecum. Twenty-six patients (60%) required surgery. The majority (56%) had urgent or emergent operations. Conclusions: Colorectal involvement by NHL occurred in 18% of patients with gastrointestinal lymphoma. Surgery was required for pain, obstruction, and/or bleeding. Physicians caring for patients must be aware of the potential need for surgery in treating this patient population. (c) 2007 Excerpta Medica Inc. All rights reserved.
引用
收藏
页码:409 / 412
页数:4
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