[Non-Hodgkin's XXXX : surgical therapy and prognosis].

@entity1 @entity353 @entity706 @entity5 @entity2617 @entity490 @entity298
This study reports 43 @entity1 (male: n = 17, female: n = 26) with non-Hodgkin's @entity706 , who underwent surgery between 1. January 1977 and 31. December 1986. The main clinical symptoms were @entity490 , @entity353 . Symptoms preceded diagnosis by 13 weeks. Barium meal and endoscopy were useful diagnostic procedures. The biopsy specimens indicated @entity5 in 80% of cases. Operations performed were: total gastrectomy (n = 18), distal resection (B I: n = 4, B II: n = 14), partial duodenopancreatectomy (n = 3), proximal gastric resection (n = 1), local excision (n = 1) and explorative laparotomy (n = 2). Perioperative mortality was 0%. @entity298 occurred in 1 @entity1 due to leakage of the duodenal stump. According to the Ann-Arbor system we found stage I in 19, stage II in 10 and stage III in 14 cases. The histological type according to the Working Formulation showed low grade of @entity5 in 15 and high grade of @entity5 in 28 @entity1 . All @entity1 underwent postoperative chemotherapy and/or radiotherapy with respect to @entity5 staging and morphology. 24 @entity1 are alive without relapse, 16 @entity1 died intercurrently. The data were collected retrospectively and analysed by means of Kaplan-Meier survival functions. For comparisons we used the Breslow and the Mantel test. We investigated the prognostic significance of: sex, clinical symptoms, localisation of the @entity5 , type and radicality of operation, lymphadenectomy, splenectomy, @entity2617 , @entity5 size and depth of infiltration, staging and grading. The 2-year survival rate was 82%, the 5-year rate was 55%.(ABSTRACT TRUNCATED AT 250 WORDS)
