NON-HODGKINS-LYMPHOMA OF THE STOMACH - SU RGICAL-TREATMENT AND PROGNOSIS

In a retrospective study, clinical and histopathologic factors of 41 p atients with a primary gastric non-Hodgkin lymphoma were analysed. All patients underwent gastric resection: total gastrectomy in 44%, subto tal in 34% and extended gastric resection in 22% of the patients. In 2 7% of the cases gastric resection was part of a multimodal therapy. Wh ile RO resection was achieved in 80% of the cases, the overall 5-year survival rate was 74%. In a multivariate analysis using the Cox model RO-resection independently improved prognosis, whereas extended gastri c resection was associated with a poorer survival rate. As RO-resectio n should be the aim of every oncologic surgery, preoperative identific ation of the RO-resectable cases by extended patient evaluation is of great importance.