Chinese Medical Sciences Journal ›› 2021, Vol. 36 ›› Issue (1): 72-77.doi: 10.24920/003682

• Case Report • Previous Articles    

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

Yanjie Cao1, Jingqi Duan1, *(), Lifang Liu1, Xuan Wei1, Li Ren2, Lanning Zhang1, Wei Zhang1   

  1. 1Department of Geriatrics,Air Force Medical Center, Beijing 100142, China
    2Department of Pathology, Air Force Medical Center, Beijing 100142, China
  • Received:2019-11-12 Accepted:2020-05-21 Published:2021-03-31
  • Contact: Jingqi Duan

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.

Key words: primary gastric lymphoma, diffuse large B-cell lymphoma, very elderly patient, nutritional treatment, palliative care

Funding: Funded by the Millitary Logistical Special Project for Health Care(18BJZ07)

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