原发性结外淋巴瘤之治疗及预后(附73例报告)

本文报道73例结外淋巴瘤,占本科收治淋巴瘤的14.4%。从病史或临床检查均能确定其首发病灶在淋巴结外,发生在11个不同的器官或部位。70例进行了治疗,单独放疗者23例,采用综合治疗者47例。3年、5年生存率分别为49.2%及45.1%。20岁以下的青少年及儿童患者预后较差,ⅠⅡ期病人生存率较高。治疗失败的原因除病期过晚外,治疗不彻底,如放射治疗之剂量不足,化疗方案不正规也是重要的因素。

TREATMENT AND PROGNOSIS OF PRIMARY EXTRANODAL LYMPHOMAS

This paper presents 73 cases of primary extranodal lymphomas admitted during 1965～1975, accounting for 14.4% of 507 cases of Iymphomas in this department at the same period. The primary tumors occurring in the extranodal sites or organs were fully proved by histories and physical examinations. There were 11 sites or organs. 70 cases have been treated by various methods, 23 by irradiation alone, 47 cases by the combined therapeupics. The 3-year and 5-year survivas rates were 49.2% and 45.1% respectively The prognosis was poor in those who was younger than 20 years of age. The survival rate in stage Ⅰ and Ⅱ was higher than in stage Ⅲ and Ⅳ. The factors causing fatal outcome were the late stage, and incomplete treatment, inadquate radiation dose and inappropriate chemotherapy.