Gastrointestinal Lymphomas: Does the Role of Surgery Need a New Definition? Primäre gastrointestinale Lymphome gehören mit 1–4% zu den seltenen Tumoren des Gastrointestinaltrakts. Abgesehen von wenigen Fällen, handelt es sich bei der Mehrzahl um extranodale Non-Hodgkin-Lymphome, die sich am häufigsten im Gastrointestinaltrakt und dort in abnehmender Reihenfolge am Magen (60%), Dünndarm (25%) und Dickdarm (15%) manifestieren. Bei der Therapie gastrointestinaler Lymphome hat neben der Chemo- und Strahlensensibilität die Helicobacter-pylori -Eradikationstherapie bei Magenlymphomen vom Mukosa-assoziierten Gewebe(MALT)-Typ eine neue Perspektive eröffnet. Zunehmende Erfahrungen mit konservativen therapeutischen Strategien lassen die Rolle der operativen Therapie in Frage stellen. ...

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