1. عنوان مقاله: Primary Gastric Lymphoma: Clinicopathologic study of
gastric lymphoma casess
and the treatment option
of choice

2. Patients: 30 patients (19 male and 11 female)
with a mean age of 51 years
(Range of 34 – 68 years)
The frequency of primary gastric
lymphoma in our series was 42%
of the total of primary gastrointestinal
lymphoma.

3. Sites of involve 71 patients who presented with
gastrointestinal lymphoma ,
( In the period ).
30 in the Stomach , 
24 in the Intestine ,
8  in the  Ileoccal region ,
in the  Rectosigmoid.
4 cases, multiple sites in the
gastrointestinal tract were involved.

4. The most common complaints were
epigastric pain (100%) ,
weight loss(80%),
nausea, and vomiting( 74%)
Lymphadenopathy is rare (3 of 30 cases),
Perforation, bleeding,or obstruction
are uncommon.

5. chemotherapy CHOP
Cyclophosphamid 1000 mg/m,
Adriamycin 50 mg/m.
Vincristine 1.4 mg/m
Prednisolone 40 mg/m
repeated once in 15 days.
A total of 6 cycle

6. Grade of Lymphoma:
Low grade Lymphoma
17patients (57%)
high-grade Lymphoma
13 cases( 43%)
The frequency of
primary gastric lymphoma
in our series was 42%

7. 7 cases in stage I (23%), 9 cases in stage II (30%),
The stages of Lymphoma:
7 cases in stage I (23%),
9 cases in stage II (30%),
9 cases in stage III ( 30%)
5 cases in stage IV(17%).

8. the overall survival rate of patients
was 47.8% at 5 years.

9. The five-year survival for stage I, II, III, IV were
Result:
Free Disease Survival (FDS)
of 67% at five years.
The five-year survival for
stage I, II, III, IV were
87%, 61%, 25% and 11%
respectively,
and the five year survival for
low grade and high grade
were 91% and 56% respectively.

10. Table1. Staging of GI Lymphoma (Crowther D A. Blackledge G)*
I A Single tumour confined to gut
B Multiple tumours confined to gut
II A Tumour with local lymph node involvement.
B Tumour with local extension to adjacent tissues.
C Tumour with proliferation and peritonitis.
III A Tumour with widespread lymphodenopathy.
IV A Tumour with disseminated disease in non-lymphoid tissue

11. Conclusions:
Early stage disease and high-grade Lymphoma have a better prognosis and patients who have complete surgical removal of primary tumor and chemotherapy.