Gastrointestinal involvement in XXXX .

@entity1 @entity1893 @entity66 @entity706
A total of 813 @entity1 admitted to Roswell Park Memorial Institute from 1963--1972 with @entity1893 ( @entity1893 ) were reviewed for gastrointestinal (GI) involvement. Primary involvement was found in 71 and secondary involvement in 31 @entity1 . Occult GI involvement was detected in 46% of the autopsy cases. The median survival time after the diagnosis of secondary GI involvement was nine months. The occurrence of primary @entity1893 was: 33 in the stomach, 18 in the small intestine, 14 in the ileocecal area including appendix, and 6 in the large intestine. Retrospective staging according to the Ann Arbor staging classification showed 24 to have presented as Stage I, 30 as Stage II, 4 as Stage III, and 13 as Stage IV. The primary diagnostic and therapeutic approach was operative, except in 2 @entity1 with @entity706 . Resection of the principally involved site was carried out in 42 @entity1 . The remainder had palliative procedures or biopsy examinations only. Postoperative radiation therapy was given to 38 @entity1 . Prognostically important features for primary @entity1893 were: stage; histologic type; site of the @entity66 ; and whether or not radiotherapy was administered. The age of the @entity1 , size or degree of local extension, and type of operative procedure were prognostically of no importance. The results of this study would indicate that in Stage I and II primary @entity1893 , elective resection is not necessary prior to radiation therapy and that resection alone cannot be considered adequate treatment. A modified staging classification is proposed.
