A review of 52 patients with gastric lymphoma at the Texas A&M University 
College of Medicine Affiliated Scott and White Memorial Hospital (Temple, TX). 
was performed to determine the influence of different treatment modalities. 
Thirty-one patients had a potentially curative resection, while 21 underwent a 
palliative procedure or biopsy alone. Overall 5-year survival was 73.4 per cent 
after curative resection and 38.3 per cent for lesser operative procedures (P 
less than .005). Adjuvant radiation was given to 14 patients after curative 
resection with a 5-year survival rate of 71.5 per cent compared to 82.4 per cent 
in the 17 patients treated by curative resection alone (nonsignificant). 
Patients who underwent palliative surgery or biopsy who received postoperative 
radiation therapy had a 38.0 per cent 5-year survival rate compared to a 0.0 per 
cent 5-year survival rate in patients who received no therapy (P = .18). The 
authors conclude that curative resection is the treatment of choice for gastric 
lymphoma, but radiation therapy may offer some benefit when complete resection 
is not feasible.