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

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胡亚 , 杜潇 , 廖泉 , 张太平 , 赵玉沛

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Keywords：

胰腺肿瘤,淋巴瘤,诊断,治疗

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【摘要】　目的　探讨原发性胰腺淋巴瘤( PPL) 的临床特点及治疗方法。方法　回顾性分析我院2002～2006
年期间收治的6 例PPL 的临床资料。结果　本组6 例患者中3 例病灶位于胰头,3 例位于胰体尾。临床症状以上
腹不适、黄疸为主。术前仅1 例通过影像学检查获得诊断。2 例行胰十二指肠切除术,3 例行胰体尾联合脾切除
术,1 例行剖腹探查、组织活检术。术后病理诊断均为胰腺非霍奇金淋巴瘤。患者术后均行化疗,除1 例失访以外,
其余5 例均存活。结论　 PPL 的临床症状、影像学表现及实验室检查结果不具特异性,与胰腺癌难以区分,明确诊
断有赖于病理组织学检查。对术前未能确诊的胰腺淋巴瘤患者,外科手术治疗结合术后化疗、放疗安全有效。

Citation： 胡亚,杜潇,廖泉,张太平,赵玉沛. 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, 唐敖荣, 等. 胰腺淋巴瘤的CT 诊断 [Ｊ]. 实用放射学杂志, 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, 唐敖荣, 等. 胰腺淋巴瘤的CT 诊断 [Ｊ]. 实用放射学杂志, 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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