Management of primary gastric lymphomas from a surgeon's viewpoint

Primary gastric lymphoma is a relatively uncommon disease and controversy s till exists over its management. In order to assess prognostic factors of l ymphomas, we carried out a retrospective study of 28 surgically treated gas tric lymphoma patients. The overall survival rate for all the patients in t he study was 33% at 10 years. On univariate analysis, lymph node metastasis and depth of tumor infiltration proved to be a significant prognostic fact or while size and location of tumor, sex, and method of resection was not. From our results we believe that gastric lymphoma can be regarded as a loca lized disease in the Parry stages and a curative resection can be attained when aggressive surgery is possible.