Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5-6
pubmed:dateCreated
1998-1-27
pubmed:abstractText
The purpose of this paper is to report the clinical characteristics and treatment outcome following different therapeutic approaches in a large series of patients with primary low-grade MALT lymphoma of the stomach. A total of ninety-three patients (median age 63 years) were reviewed. The patients were treated by different modalities (local treatment alone, combined treatment, chemotherapy, antibiotics alone); seven patients refused any treatment. The antibiotic-treated group of patients was prospectively followed with regular endoscopic biopsies, and their responses were histologically evaluated. The 5-years projected overall survival is 82% (95% C.I.; 67%-91%) in the series as a whole. Second tumors were observed in 21.5% of the patients in this series (95% CI 14%v to 31%). There was no apparent difference in overall survival and event-free survival between patients who received different treatments. In the antibiotic-treated group histologic regression of MALT lymphoma was documented in 67% of patients (95% CI 51% to 80%). In conclusion the indolent nature of the disease justifies a conservative approach. The use of antibiotics as first-line therapy may avert or at least postpone the indication for surgical resection in the majority of patients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
1042-8194
pubmed:author
pubmed:issnType
Print
pubmed:volume
26
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
527-37
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:9389360-Adult, pubmed-meshheading:9389360-Aged, pubmed-meshheading:9389360-Aged, 80 and over, pubmed-meshheading:9389360-Anti-Bacterial Agents, pubmed-meshheading:9389360-Antineoplastic Agents, Alkylating, pubmed-meshheading:9389360-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:9389360-Chlorambucil, pubmed-meshheading:9389360-Combined Modality Therapy, pubmed-meshheading:9389360-Cyclophosphamide, pubmed-meshheading:9389360-Doxorubicin, pubmed-meshheading:9389360-Female, pubmed-meshheading:9389360-Helicobacter Infections, pubmed-meshheading:9389360-Helicobacter pylori, pubmed-meshheading:9389360-Humans, pubmed-meshheading:9389360-Lymphoma, B-Cell, Marginal Zone, pubmed-meshheading:9389360-Lymphoma, Non-Hodgkin, pubmed-meshheading:9389360-Male, pubmed-meshheading:9389360-Middle Aged, pubmed-meshheading:9389360-Prednisone, pubmed-meshheading:9389360-Prognosis, pubmed-meshheading:9389360-Stomach Neoplasms, pubmed-meshheading:9389360-Treatment Outcome, pubmed-meshheading:9389360-Vincristine
pubmed:year
1997
pubmed:articleTitle
Clinical features, treatment and outcome in a series of 93 patients with low-grade gastric MALT lymphoma.
pubmed:affiliation
Divisione Clinica Medica, Ospedale Multizonale, Varese, Italy.
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't