Deliver at first the sex stomach department lymphoid lump shares a stomach department a malignant tumor around of 1 the － be 7%, have 6% of the people malignant and lymphoid lump, 18% of the knot outside malignant and lymphoid lump, it prepares behind and cures a way to have something to do with it pathologic classification and divide expect.Need to infringe upon other parts lymphoid lumps the case of appetite way to expel otherwise while studying to deliver a sex appetite way lymphoid lump at first to influence to judge to read a result.Among them mucosa related lymphoid organization(the lymphoid tissue of the mucosa-associated; MALT)the concept first time of lymphoid lump be put forward.The malignant and lymphoid Formulation of the lump Working followed to use several years for the sake of the improvement categorizes a method(1982) of imperfection, international scholar after 1994 putting forward a new classification method, REAL categorize method, among them lately- increase mucosa being related lymph organizing lymphoid lump(MALTOMA) item to be often categorize for the malignant and lymphoid lump which wins a bad degree in the Working Formulation the classification the method(1982), however mucosa being related lymph organizing the lymphoid lump majority as the lymphoid lump of low and malignant degree and preparing good.
Deliver at first whether the sex stomach department lymphoid lump needs to cut off by surgical operation or not?Have been a topic of controversy for long time.The surgery therapy once once was the department lymphoid lump of the only diagnosis stomach and the treatment method of first step, in recent years inside see the development of mirror diagnosis, through many times inside see after the mirror slice the diagnosis rate of stomach department lymphoid lump to be up to above 90%, in addition cure a later period because of chemotherapy the lymphoid lump is made the person encourage of result, as a result some group assertions use a chemotherapy treatment earlier period the stomach department lymphoid lump with avoid the stomach complications develop in excision.
Surgery therapy:
The doctor of Bozzetti F once did an extensive cultural heritage review analysis to relevant"stomach cut off the surgical operation was cure to deliver the role of the sex stomach department lymphoid lump at first in early days" announce in 1980's(Br. J Surg. 1993).He points out that stomach excision is applicable to cure to bleed, jam by stomach, boring etc. the impatient symptom express of the stomach lymphoid lump, another at that time machine this is after the treatment stomach department lymphoid lump of chemotherapy and emanation therapy to erupt stomach perforation and stomach issue of blood;The individual case that is in the selectivity, the IE expect of the patient be single to use surgical operation excision but the IIE expect of patient the beard then after operation uses chemotherapy or projects a therapy assistance a treatment to improve a livability.The stomach excision surgical operation accompany with can't neglect of surgical operation death rate and Li disease of rate, the doctor of Roukos DH looks back the way that cultural heritage report 881 to cut off treatment to deliver the case of the sex stomach department lymphoid lump at first with the stomach and the death rate cause by surgical operation is about 7%.The stomach cut off of may the linger effect causes after include easily satisfiedly the bulge feeling, belly is unwell, the weight ease, through the Billroth II the Shu of afferent loop comprehensive disease, take a meal sex comprehensive disease, and absorb badly(include the vitamin B12 to lack cartilage disease and bone soft disease that disease, vitamin D and calcium cause when lack.In order to delivering the opportunity that the sex stomach department lymphoid lump survive over a long period of time at first in early days very high(particularly is a young man) as a result choice stomach cut off method treatment have to have regard for the long-term linger effect that it may cause.
The chemistry cure:
Because the later period of chemotherapy treatment lymphoid lump is made the person encourage of result, and relapse after cure the lymphoid lump by surgical operation excision of the part be often in the distance as a result have scholar suggest use a chemotherapy treatment earlier period the stomach lymphoid lump with avoid stomach excision cause of complications.But use a chemistry treatment and project the opportunity(15 － 30%) that the therapy treatment stomach department lymphoid lump has already erupted stomach perforation(about 0-10 － 20%) and stomach issue of blood behind, occurrence of the reason be attributed to a built-up fast collapse.In addition the toxicity of chemistry treatment results in the patient die of opportunity about 1 the － be 10%.In order to lacking currently ， the careful large prospect random assigns the conclusion of clinical trial, as a result the best therapy of "whether the chemotherapy is a treatment earlier period the stomach lymphoid lump" needs a confirmation.
Project a treatment:
For behavior ability poor old-age sufferer, or have other important malignant diseases isn't suitable for a patient who use the surgical operation excision or chemistry treatment, the part emanation treatment is a treatment earlier period another choice of the stomach lymphoid lump.
The stomach mucosa is related lymphoid organize the choice that the lymphoid lump cure to depend on its invasion degree and malignant degree a classification but settle.Among them, the stomach mucosa of low and malignant degree is related lymphoid organize the tumor living creature characteristic of lymphoid lump to differ from other stomach departments lymphoid lump, the spiral rod bacteria of occurrence and You door which has a proof manifestation is related, slow-moving because of course of illness and prepare good behind, five year, the livability can reach to 80%.The stomach's department lymphoid lump second type if limit at a stomach department, surgical operation cut off, project a treatment, and chemistry the treatment all has quite good curative effect, some researches confirm to cure clearance You a door about 73% cases through the antibiotics to can reach completely alleviate of the pathologic histology after the spiral rod bacteria recently, as a result the spiral to You door rod bacteria is male of the stomach mucosa be related lymphoid organize lymphoid lump, the antibiotic therapy provided a kind of new choice;As for what therapy(the surgical operation cut off or non- surgical operation therapy) had better, that conclusion depends on the random clinical trial of prospect to confirm.
Conclusion
At first deliver the sex stomach department lymphoid lump is a flock of different and source disease, so the treatment method can't be single to turn."Deliver at first whether the sex stomach department lymphoid lump needs to cut off by surgical operation or not?", Although the surgery therapy once was the method of the treatment earlier period stomach lymphoid lump, because of chemotherapy treatment the lymphoid lump also had quite good result in early days, as a result some group assertions used a chemotherapy treatment earlier period the stomach department lymphoid lump with avoid the stomach complications develop in excision.The main strategy which cures to deliver the sex stomach department lymphoid lump at first currently depends on its invasion degree and bad degree a classification but settle;For part of the stomach department lymphoid lump( IE and IIE expect) cure of the way have the stomach excision the surgical operation+chemistry treatment, chemistry treatment+project a treatment, or list use to project a treatment.Then regard chemistry treatment as principle to the way of extensively sexual stomach department lymphoid lump( IIIE and IVE expect) treatment.For the stomach mucosa of You door spiral rod bacteria male and low and bad degree related lymphoid organize lymphoid lump, the antibiotic therapy provided a kind of new choice.
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