國家衛生研究院 NHRI:Item 3990099045/2829
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/2829


    Title: Long-term follow-up of gastrectomized patients with mucosa-associated lymphoid tissue lymphoma - Need for a revisit of surgical treatment
    Authors: Kuo, SH;Chen, LT;Wu, MS;Lin, CW;Yeh, KH;Kuo, KT;Yeh, PY;Tzeng, YS;Wang, HP;Hsu, PN;Lin, JT;Cheng, AL
    Contributors: National Institute of Cancer Research
    Abstract: Background: Gastric mucosa-associated lymphoid tissue (MALT) lymphoma is characterized by multifocality of the tumors, which often scatter over the mucosa of the stomach and adjacent upper gastrointestinal tract, and is therefore theoretically not curable by surgical resection. Methods: We conducted a long-term follow-up study of 14 patients who received surgical treatment for gastric MALT lymphoma. Tissues from the surgical margins of the resected stomach were analyzed by polymerase chain reaction-based amplification of the complementarity-determining region 3 of the IgH gene for the presence of residual tumors. T (11;18)(q21;q21), a marker of Helicobacter pylori-independent MALT lymphoma, was analyzed by reverse transcription polymerase chain reaction. All living patients were restaged, and rebiopsied if suspicious lesions were identified. Results: At a median follow-up of 11.5 years, only 1 patient had evidence of tumor recurrence. Three patients with molecularly proven residual tumors in the surgical margin remained disease-free at 9.6 to 11.6 years. Five patients with t(11;18)(q21;q21) in the tumor cells were disease-free at 9.2 to 12.6 years. Conclusion: Our results indicate that surgical resection is a highly curative treatment for gastric MALT lymphoma, even for patients with residual tumor cells in the surgical margins, and for patients with H. pylori-independent tumors. A revisit of surgical treatment for gastric MALT lymphoma is mandatory.
    Keywords: Surgery
    Date: 2008-02
    Relation: Annals of Surgery. 2008 Feb;247(2):265-269.
    Link to: http://dx.doi.org/10.1097/SLA.0b013e3181582364
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0003-4932&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000252758500009
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=38549109999
    Appears in Collections:[Li-Tzong Chen] Periodical Articles

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