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Treatment results in localized primary gastric lymphoma: data of patients registered within the German multicenter study (GIT NHL 02/96)
- Source :
- Journal of clinical oncology : official journal of the American Society of Clinical Oncology. 23(28)
- Publication Year :
- 2005
-
Abstract
- Purpose In the prospective study 02/96 on primary GI lymphoma, we have collected data on histology, clinical features, and treatment results. In particular, in stages I and II localized primary gastric lymphoma (PGL), our objectives were to reduce treatment intensity and to confirm our hypothesis from study 01/92, which maintained that an organ-preserving approach is not inferior to primary surgery. Patients and Methods Patients receiving radiotherapy and/or chemotherapy were stratified for histologic grade, stage, and whether surgery had been carried out or not (as decided by each participating center). Patients with aggressive PGL received six cycles of CHOP-14 (cyclophosphamide, doxorubicin, vincristine, and prednisone) followed by involved-field radiotherapy (40 Gy). Patients with indolent PGL (including patients experiencing treatment failure with antibiotic therapy for Helicobacter pylori) were treated with extended-field radiotherapy. The volume depended on stage. The irradiation dose was 30 Gy, followed by a boost of 10 Gy (the latter omitted after complete resection) to the tumor region. Results Seven hundred forty-seven patients were accrued. Of these patients, 393 with localized PGL were treated with radiotherapy and/or chemotherapy only or additional surgery between December 1996 and December 2003. The survival rate at 42 months for patients treated with surgery was 86% compared with 91.0% for patients without surgery. Conclusion In this nonrandomized study (02/96), we reproduced the previous results of study 01/92 showing no disadvantage for an organ-preserving treatment. Therefore, primary stomach resection should be questioned.
- Subjects :
- Adult
Male
Cancer Research
Vincristine
medicine.medical_specialty
Cyclophosphamide
Lymphoma
medicine.medical_treatment
Gastroenterology
Prednisone
Stomach Neoplasms
Internal medicine
Antineoplastic Combined Chemotherapy Protocols
medicine
Humans
Prospective Studies
Prospective cohort study
Aged
Neoplasm Staging
Aged, 80 and over
Chemotherapy
business.industry
Dose fractionation
Middle Aged
medicine.disease
Combined Modality Therapy
Survival Analysis
Surgery
Radiation therapy
Treatment Outcome
Oncology
Doxorubicin
Female
Dose Fractionation, Radiation
business
medicine.drug
Subjects
Details
- ISSN :
- 0732183X
- Volume :
- 23
- Issue :
- 28
- Database :
- OpenAIRE
- Journal :
- Journal of clinical oncology : official journal of the American Society of Clinical Oncology
- Accession number :
- edsair.doi.dedup.....cfec0bbd263b8c31a9b4ea692b1553d6