Investigation of the treatment modality in primary lymphoma of the salivary glands
| Autor: | Yang-Yang Zhang, Zhien Feng, Jinzhong Li, Lizheng Qin, Minghui Mao, Zhengxue Han |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Oncology
medicine.medical_specialty Ann Arbor staging medicine.medical_treatment Disease-Free Survival Salivary Glands 03 medical and health sciences 0302 clinical medicine Major Salivary Gland Internal medicine Humans Medicine Stage (cooking) 030223 otorhinolaryngology Pathological Neoplasm Staging Retrospective Studies Univariate analysis business.industry Lymphoma Non-Hodgkin Medical record MALT lymphoma 030206 dentistry medicine.disease Radiation therapy Otorhinolaryngology Surgery Oral Surgery business |
| Zdroj: | Journal of Stomatology, Oral and Maxillofacial Surgery. 122:248-255 |
| ISSN: | 2468-7855 |
| Popis: | Purpose To review our experience in managing primary lymphoma of the major salivary glands by analysing the treatment modality of patients. Methods In this study, we reviewed the medical records of 26 patients with primary malignant lymphoma of the major salivary glands who were treated at Beijing Stomatological Hospital of Capital Medical University from January 1999 to March 2015. The predictor variable was treatment modality. The outcome variables were overall survival (OS), disease-free survival (DFS), disease-special survival (DSS) and local control (LC). Other relevant variables were as follows: age, sex, pathological pattern, tumour site, clinical features, source, IPI and Ann-Arbor stage. The data were analysed by the χ2 test, log-rank test, and univariate analysis. Results Of the 26 patients, 14 received surgery only, four received initial surgery combined with adjuvant radiotherapy, five received adjuvant chemotherapy, and three received adjuvant radiochemotherapy. During the median follow-up period of 104 months, the overall estimates of OS, DFS, DSS and LC were 84.6, 84.6, 88.5 and 92.3%, respectively. Good outcomes were achieved in patients who received surgery combined with postoperative RT, followed by surgery only. MALT lymphoma had a better prognosis than the other pathological patterns. Mass, swelling, pathological pattern and Ann-Arbor stage were important prognostic factors. Conclusion Surgery combined with postoperative radiotherapy may be an appropriate choice for patients with MALT lymphoma. The pathological pattern, mass, swelling and Ann-Arbor stage were associated with an unfavourable prognosis. |
| Databáze: | OpenAIRE |
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