Diagnosis and Treatment of Primary Pancreatic Lymphoma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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胡亞 , 杜瀟 , 廖泉 , 張太平 , 趙玉沛

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Keywords：

胰腺腫瘤,淋巴瘤,診斷,治療

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【摘要】　目的　探討原發性胰腺淋巴瘤( PPL) 的臨床特點及治療方法。方法　回顧性分析我院2002～2006
年期間收治的6 例PPL 的臨床資料。結果　本組6 例患者中3 例病灶位于胰頭,3 例位于胰體尾。臨床癥狀以上
腹不適、黃疸為主。術前僅1 例通過影像學檢查獲得診斷。2 例行胰十二指腸切除術,3 例行胰體尾聯合脾切除
術,1 例行剖腹探查、組織活檢術。術后病理診斷均為胰腺非霍奇金淋巴瘤。患者術后均行化療,除1 例失訪以外,
其余5 例均存活。結論　 PPL 的臨床癥狀、影像學表現及實驗室檢查結果不具特異性,與胰腺癌難以區分,明確診
斷有賴于病理組織學檢查。對術前未能確診的胰腺淋巴瘤患者,外科手術治療結合術后化療、放療安全有效。

Citation： 胡亞,杜瀟,廖泉,張太平,趙玉沛. Diagnosis and Treatment of Primary Pancreatic Lymphoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2008, 15(4): 285-286. doi: Copy

1.	13 　 Lin KM, Penney DG, Mahmoud A, et al. Advantage of surgery and adjuvant chemotherapy in the treatment of primary gastrointestinal lymphoma [Ｊ] . J Surg Oncol, 1997; 64(3) ∶ 237.
2.	Carbone PP, Kaplan HS, Musshoff K, et al. Report of the Committee on Hodgkin’s Disease Staging Classification [Ｊ]. Cancer Res, 1971; 31(11)∶1860.
3.	Behrns KB, Sarr MG, Strickler JG. Pancreatic lymphoma: is it a surgical disease? [Ｊ]. Pancreas, 1994; 9（5）∶662.
4.	Freeman C, Berg JW, Cutler SJ. Occurrence and prognosis of extranodal lymphomas [Ｊ]. Cancer, 1972; 29(1)∶252.
5.	Lal A. Primary gastrointestinal non-Hodgin’s lymphomasA retrospective review [Ｊ]. Ann Onco， 2005； 16(Suppl 5)∶v218.
6.	Maruyama H, Nakatsuji N, Sugihara S, et al. Anaplastic Ki-1-positive large cell lymphoma of the pancreas: a case report and review of the literature [Ｊ]. Jpn J Clin Oncol, 1997; 27(1)∶51.
7.	Battula N, Srinivasan P, Prachalias A, et al. Primary pancreatic lymphoma: diagnostic and therapeutic dilemma [Ｊ]. Pancreas, 2006; 33(2)∶192.
8.	Misdraji J, Fernandez del Castillo C, Ferry JA. Follicle center lymphoma of the ampulla of Vater presenting with jaundice: report of a case [Ｊ]. Am J Surg Pathol, 1997; 21(4)∶484.
9.	Forsmark CE, Lambiase L, Vogel SB. Diagnosis of pancreatic cancer and prediction of unresectability using the tumor-associated antigen CA19-9 [Ｊ]. Pancreas, 1994; 9(6)∶731.
10.	Van Beers B, Lalonde L, Soyer P, et al. Dynamic CT in pancreatic lymphoma [Ｊ]. J Comput Assist Tomogr, 1993; 17(1)∶94.
11.	王林友, 宋琦, 唐敖榮, 等. 胰腺淋巴瘤的CT 診斷 [Ｊ]. 實用放射學雜志, 2003; 19(11)∶1004.
12.	Brandt KR, Charboneau JW, Stephens DH, et al. CT- and US-guided biopsy of the pancreas [Ｊ]. Radiology, 1993; 187(1)∶99.
13.	Webb TH, Lillemoe KD, Pitt HA, et al. Pancreatic lymphoma. Is surgery mandatory for diagnosis or treatment? [Ｊ]. Ann Surg, 1989; 209(1)∶25.

1. 13 　 Lin KM, Penney DG, Mahmoud A, et al. Advantage of surgery and adjuvant chemotherapy in the treatment of primary gastrointestinal lymphoma [Ｊ] . J Surg Oncol, 1997; 64(3) ∶ 237.
2. 　Carbone PP, Kaplan HS, Musshoff K, et al. Report of the Committee on Hodgkin’s Disease Staging Classification [Ｊ]. Cancer Res, 1971; 31(11)∶1860.
3. 　Behrns KB, Sarr MG, Strickler JG. Pancreatic lymphoma: is it a surgical disease? [Ｊ]. Pancreas, 1994; 9（5）∶662.
4. 　Freeman C, Berg JW, Cutler SJ. Occurrence and prognosis of extranodal lymphomas [Ｊ]. Cancer, 1972; 29(1)∶252.
5. 　Lal A. Primary gastrointestinal non-Hodgin’s lymphomasA retrospective review [Ｊ]. Ann Onco， 2005； 16(Suppl 5)∶v218.
6. 　Maruyama H, Nakatsuji N, Sugihara S, et al. Anaplastic Ki-1-positive large cell lymphoma of the pancreas: a case report and review of the literature [Ｊ]. Jpn J Clin Oncol, 1997; 27(1)∶51.
7. 　Battula N, Srinivasan P, Prachalias A, et al. Primary pancreatic lymphoma: diagnostic and therapeutic dilemma [Ｊ]. Pancreas, 2006; 33(2)∶192.
8. 　Misdraji J, Fernandez del Castillo C, Ferry JA. Follicle center lymphoma of the ampulla of Vater presenting with jaundice: report of a case [Ｊ]. Am J Surg Pathol, 1997; 21(4)∶484.
9. 　Forsmark CE, Lambiase L, Vogel SB. Diagnosis of pancreatic cancer and prediction of unresectability using the tumor-associated antigen CA19-9 [Ｊ]. Pancreas, 1994; 9(6)∶731.
10. 　Van Beers B, Lalonde L, Soyer P, et al. Dynamic CT in pancreatic lymphoma [Ｊ]. J Comput Assist Tomogr, 1993; 17(1)∶94.
11. 　王林友, 宋琦, 唐敖榮, 等. 胰腺淋巴瘤的CT 診斷 [Ｊ]. 實用放射學雜志, 2003; 19(11)∶1004.
12. 　　Brandt KR, Charboneau JW, Stephens DH, et al. CT- and US-guided biopsy of the pancreas [Ｊ]. Radiology, 1993; 187(1)∶99.
13. 　Webb TH, Lillemoe KD, Pitt HA, et al. Pancreatic lymphoma. Is surgery mandatory for diagnosis or treatment? [Ｊ]. Ann Surg, 1989; 209(1)∶25.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Diagnosis and Treatment of Primary Pancreatic Lymphoma

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