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Individualized Treatment and Palliative Care for A 90-Year-Old Patient with Primary Gastric Diffuse Large-B Cell Lymphoma: 4 Year Follow-up and Inspiration.
- Source :
-
Chinese Medical Sciences Journal . Mar2021, Vol. 36 Issue 1, p72-77. 6p. - Publication Year :
- 2021
-
Abstract
- A 90-year-old man was diagnosed with primary gastric diffuse large B-cell lymphoma (PGDLBL) by PET/CT examination, gastroscopy, biopsy and histopathological analysis at a regular physical check in April, 2016. The patient received R-CO chemotherapy (rituximab, cyclophosphamide, and vincristine) and radiotherapy subsequently, with enteral nutritional treatment through 3-cavity nasogastric tube due to development of pyloric obstruction. To satisfy patient's strong desire of eating by himself, we performed surgery of exploratory laparotomy and Roux-en-Y gastric bypass (RGB) to relieve pylorus obstruction. Postoperatively, the patient resumed oral feeding, supplemented by nasogastric tube feeding at 1350 - 1550 Kcal daily. He is now 94 years old with fairly well nutrition and normal communication. The outcome of 4 year follow-up suggests that nutritional treatment and palliative medicine are important for improving prognosis and life-quality of very elderly patients with end-stage tumors apart from the effective chemotherapy, radiotherapy, and surgery. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10019294
- Volume :
- 36
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Chinese Medical Sciences Journal
- Publication Type :
- Academic Journal
- Accession number :
- 149781484
- Full Text :
- https://doi.org/10.24920/003682