【摘 要】
:
有这样一例病人,患有胃非霍奇金淋巴瘤(弥漫大B细胞),肿瘤与周围组织广泛粘连,行R-CHOP方案化疗了3疗程,疗效评价为部分缓解,肿瘤与周围组织无粘连(胃壁仍广泛增厚,但已较前
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有这样一例病人,患有胃非霍奇金淋巴瘤(弥漫大B细胞),肿瘤与周围组织广泛粘连,行R-CHOP方案化疗了3疗程,疗效评价为部分缓解,肿瘤与周围组织无粘连(胃壁仍广泛增厚,但已较前明显好转),再化疗后出现上消化道出血,止血效果不佳,这时是继续止血治疗,然后再化疗、再放疗,还是做手术,然后再作巩固性化疗?
There was a case of this patient with gastric non-Hodgkin’s lymphoma (diffuse large B cells). The tumor was extensively adherent to the surrounding tissue. R-CHOP regimen chemotherapy was given for 3 courses of treatment. The efficacy was evaluated as partial remission. The tumor was not adhered to the surrounding tissue. (Stomach wall is still widely thickened, but it has improved significantly compared with before). After chemotherapy, upper gastrointestinal bleeding occurs. The hemostatic effect is not good. At this time, hemostasis treatment is continued. Then chemotherapy, radiotherapy, or surgery, and then again Consolidation chemotherapy?
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