Surgical treatment of malignant lymphoma in different parts of the body

Malignant lymphoma can occur in the gastrointestinal tract, urogenital system, spleen, central nervous system and other parts. The surgical treatment principles are different in different parts. The location of the lesion should be identified and the diseased tissue should be removed.

1. Surgical treatment of gastrointestinal malignant lymphoma

The gastrointestinal tract is the most common extranodal site of lymphoma invasion. Primary gastrointestinal malignant lymphoma should be treated with surgery. Gastric lymphoma can be treated with subtotal gastrectomy, but total gastrectomy should be used with caution. Intestinal lymphoma can be treated with localized lesions of the intestine and the corresponding mesentery. For tumors that cannot be completely removed, silver clips can be placed during surgery to facilitate postoperative radiotherapy.

2. Surgical treatment of malignant lymphoma of the genitourinary system

Lymphomas originating from organs such as the kidneys, bladder, testicles, ovaries and uterus are all malignant lymphomas of the genitourinary system and should be treated with early surgical resection, followed by adjuvant radiotherapy or chemotherapy.

3. Surgical treatment of splenic malignant lymphoma

Malignant lymphoma originating in the spleen is relatively rare. The 5-year survival rate of stage I to II cases with simple surgical resection is 40%. Postoperative chemotherapy or radiotherapy can help improve the efficacy.

4. Surgical treatment of malignant lymphoma of the central nervous system

Lymphoma originating in the brain, eyes, spinal cord, and leptomeninges is a malignant lymphoma of the central nervous system and should be diagnosed by biopsy. If the lesion is located in a non-functional area, surgical treatment can be considered, but treatment must be combined with radiotherapy, chemotherapy, etc.

Tips: Surgery as a treatment for malignant lymphoma has very limited indications and a low cure rate, and often requires adjuvant radiotherapy or chemotherapy.