Recent results of multimodal therapy of gastric lymphoma Journal Article


Authors: Shiu, M. H.; Nisce, L. Z.; Pinna, A.; Straus, D. J.; Tome, M.; Filippa, D. A.; Lee, B. J.
Article Title: Recent results of multimodal therapy of gastric lymphoma
Abstract: The efficacy of multimodality treatment of gastric lymphoma was examined in a retrospective study of 46 patients treated at the Memorial Sloan‐Kettering Cancer Center from 1971 to 1982. The principal treatment plan consisted of (1) surgical resection of the gastric lymphoma (n = 36) where feasible, followed by (2) radiation therapy of the whole abdomen (n = 23) with a boosting dose to the stomach‐bed to 3700 cGy, and/or (3) chemotherapy using mainly the CHOP (cyclophosphamide, doxorubicin, vincristine, prednisone) regimen as an adjuvant (n = 7), or CHOP plus other drugs for advanced disease. The median follow‐up time of patients was 61 months (range, 30 months to 14 years). There was no operative mortality. No patient developed known relapse in the abdomen after resection and total abdominal irradiation, and none suffered relapses after adjuvant chemotherapy, for Stages I‐E and II‐E. At 5 years, the estimated survival rate after treatment was 95%, 78%, and 25%, respectively for Stages I‐E (n = 20), II‐E (n = 9) and IV (n = 17). The results for Stage I‐E and II‐E resectable tumors were significantly improved (P < 0.05 and < 0.1 respectively) over those of similar tumors treated in 1949 to 1970. Copyright © 1986 American Cancer Society
Keywords: adult; cancer chemotherapy; clinical article; aged; middle aged; cancer surgery; prednisone; doxorubicin; cancer combination chemotherapy; drug efficacy; combined modality therapy; cytarabine; methotrexate; follow up; follow-up studies; gastrointestinal symptom; antineoplastic combined chemotherapy protocols; radiotherapy dosage; radiotherapy; cyclophosphamide; vincristine; herpes zoster; thiotepa; lymphatic system; gastrointestinal toxicity; lymphoma; bleomycin; gastrectomy; drug therapy; malnutrition; stomach neoplasms; adverse drug reaction; therapy; chlorambucil; intravenous drug administration; stomach; mitoguazone; oral drug administration; partial gastrectomy; intoxication; digestive system; stomach lymphoma; humans; human; male; female; priority journal
Journal Title: Cancer
Volume: 58
Issue: 7
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 1986-10-01
Start Page: 1389
End Page: 1399
Language: English
DOI: 10.1002/1097-0142(19861001)58:7<1389::Aid-cncr2820580702>3.0.Co;2-y
PUBMED: 3755645
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 18 August 2021 -- Source: Scopus
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MSK Authors
  1. Daniel A Filippa
    148 Filippa
  2. David J Straus
    356 Straus
  3. Man-Hei Shiu
    44 Shiu