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为探讨原发性结肠恶性淋巴瘤的诊断和治疗,回顾性分析了我院1983~1995年收治的14例原发性结肠恶性淋巴瘤的临床资料。结果:14例患者均行手术探查,其手术切除率为93%,其中根治性手术达69%,病理类型均属非何杰金氏淋巴瘤,其中B细胞瘤8例,T细胞瘤6例,5年生存率为35.7%(5/14)。因此,笔者认为:掌握本病临床表现是诊断的关键,治疗上应选择以手术为主的综合疗法,免疫组化分型是判断预后的良好指标
To investigate the diagnosis and treatment of primary malignant lymphoma of the colon, we retrospectively analyzed the clinical data of 14 cases of primary malignant lymphoma of the colon from 1983 to 1995 in our hospital. RESULTS: All 14 patients underwent surgical exploration. The surgical resection rate was 93%. Among them, radical surgery was 69%. The pathological types were non-Hodgkin’s lymphoma. Among them, 8 were B-cell tumors and 6 were T-cell tumors. The 5-year survival rate was 35.7% (5/14). Therefore, the author believes that: mastering the clinical manifestations of the disease is the key to diagnosis, treatment should be based on the choice of surgery-based comprehensive therapy, immunohistochemistry is a good indicator of prognosis