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Objective To explore the prognostic factors for primary gastric diffuse large B cell lymphoma (PG-DLBCL). Materials and Methods This retrospective study analyzed 72 PG-DLBCL patients between January 2012 and December 2017 in Shanxi Cancer Hospital of Shanxi Medical University, so as to identify the different prognostic factors in PG-DLBCL. The clinical features, treatment and follow-up information were analyzed. Results The low CD4CD8 ratio group (median subsequent OS = 36.06 months; 95% confidence interval [CI] = 25.73-46.4 showed a si