INTESTINE Vol.8 No.5(2-2)


特集名 大腸のリンパ増殖性病変の現状 -- 悪性リンパ腫を中心に
題名 臨床 (総説) (2) 大腸原発悪性リンパ腫の治療
発刊年月 2004年 09月
著者 角川 康夫 国立がんセンター中央病院内視鏡部
著者 神津 隆弘 国立がんセンター中央病院内視鏡部
著者 上 昌広 国立がんセンター中央病院幹細胞移植療法部
著者 松田 尚久 国立がんセンター中央病院内視鏡部
著者 斎藤 豊 国立がんセンター中央病院内視鏡部
著者 藤井 隆広 藤井 隆広クリニック
【 要旨 】 要旨はありません。
Theme Present status of lymphoid proliferative disease of the colo-rectum with special reference to malignant lymphoma
Title Treatment of primary malignant lymphoma of large intestine
Author Yasuo Kakugawa Department of Gastrointestinal Endoscopy, National Cancer Center Hospital
Author Takahiro Kozu Department of Gastrointestinal Endoscopy, National Cancer Center Hospital
Author Masahiro Kami Department of Hematopoietic Stem-Cell Transplantation, National Cancer Center Hospital
Author Takahisa Matsuda Department of Gastrointestinal Endoscopy, National Cancer Center Hospital
Author Yutaka Saito Department of Gastrointestinal Endoscopy, National Cancer Center Hospital
Author Takahiro Fujii Takahiro Fujii Clinic
[ Summary ] Treatment of primary malignant lymphoma of the large intestine may be performed in various ways. Surgical treatment with chemotherapy is usually performed for primary malignant lymphoma of the large intestine. CHOP chemotherapy is the standard treatment for non-Hodgkin's lymphoma. The addition of rituximab to the CHOP regimen has become popular. Radiotherapy is also effective for malignant lymphoma and is usually performed for inoperable lesions. H. pylori eradication therapy is reported to induce regression of low grade MALT lymphoma of the large intestine. Hematopoietic stem cell transplantation is also performed for malignant lymphoma. Primary malignant lymphoma of the large intestine is very rare, therefore a standard treatment has not been established yet. It is therefore important for gastroenterologists, hematologists and radiologists to discuss treatment option for primary malignant lymphoma of the large intestine.
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