+ Site Statistics
References:
52,654,530
Abstracts:
29,560,856
PMIDs:
28,072,755
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

A case of malignant lymphoma of the stomach difficult to differentiate from rlh and was followed up for three years and four months



A case of malignant lymphoma of the stomach difficult to differentiate from rlh and was followed up for three years and four months



Gastroenterological Endoscopy 30(8): 1813-1821



A 55-year-old woman visited a local physician in October, 1980 with chief complaints of epigastralgia, nausea and vomiting, which had started in June, 1980. The initial upper GI X-ray and endoscopic examination in October, 1980 revealed an irregular ulcerated lesion on the gastric angulus, which was suggestive of gastric cancer, but a biopsied specimen showed no malignancy. She received anti-ulcerative drugs, but her symptoms did not improve. In September, 1981, she visited our hospital for further examination of her gastric lesion. X-ray and endoscopic examination showed multiple irregular erosions from the antrum to the angulus, and a biopsied specimen revealed infiltration of mononuclear cells. The lesion was suspected to be reactive lymphorecticular hyperplasia (RLH). Conservative therapy using cimetidine was started, but the lesion did not heal. In December, 1983, her symptoms got worse, and the final endoscopic findings in January, 1984 showed rough and granular mucosa with multiple irregular erosions from the antrum to the lower body of the stomach. The lesion spread to the fundic gland area over the grandular border. Malignant lymphoma (superficial spreading type) was suspected. Subtotal gastrectomy with R 2-lymphnodectomy was carried out in February, 1984. Macroscopically, rough and granular mucosa with multiple erosions and some ulcer scars, which had a cobble stone-like appearance, was seen from the antrum to the lower body of the resected stomach. Histologically, the lesion was diagnosed as malignant lymphoma, follicular, predominantly small cleaved cells, which was limited to the submucosa. No lymphnode metastasis was seen. This case was followed up for three years and four months under the clinical diagnosis of RLH, and the final patho-histological diagnosis was malignant lymphoma. It is very difficult to differentiate RLH from malignant lymphoma by means of endoscopy and biopsy before operation. Early operation should be done when RLH is suspected.

(PDF emailed within 1 workday: $29.90)

Accession: 006932780

Download citation: RISBibTeXText


Related references

Malignant lymphoma of the stomach is difficult to differentiate from advanced gastric carcinoma. Stomach & Intestine (Tokyo) 16(4): 433-436, 1981

Malignant lymphoma of the stomach followed up for 3 years and 4 months. Stomach & Intestine (Tokyo) 16(5): 545-550, 1981

Malignant lymphoma of the stomach followed up for five months without definite diagnosis report of a case. Stomach & Intestine (Tokyo) 24(4): 461-466, 1989

Primary Pituitary Malignant Lymphoma that was Difficult to Differentiate from Nonfunctioning Pituitary Adenoma:A Case Report. No Shinkei Geka. Neurological Surgery 44(9): 779-784, 2016

Malignant lymphoma of the stomach which developed into giant rugal type from localized thickening of the mucosa in a period of 2 years and 5 months. Stomach & Intestine (Tokyo) 16(5): 531- 536, 1981

Malignant lymphoma difficult to differentiate from lymphoid hyperplasia. Stomach & Intestine (Tokyo) 16(4): 451-454, 1981

A case of triple malignant tumors consisting of esophagus, stomach and malignant lymphoma with a histopathological feature of collision between gastric cancer and malignant lymphoma--a case report. Gan to Kagaku Ryoho. Cancer & ChemoTherapy 37(13): 2891-2895, 2011

Anaplastic carcinoma in the esophagus which was difficult to differentiate from malignant lymphoma. Gastroenterological Endoscopy 33(9): 2062-2067, 1991

MALT lymphoma of the stomach diagnosed by gene detection, after being followed up for four years and eight months as a pseudolymphoma: Report of a case. Stomach and Intestine 28(10): 1101-1108, 1993

Malignant lymphoma of the stomach hard to differentiate from so called reactive lympho reticular hyperplasia. Stomach & Intestine (tokyo): 297-302, 1980

A case of spermatic granuloma difficult to differentiate from malignant tumor. Hinyokika Kiyo. Acta Urologica Japonica 48(9): 549-552, 2002

Early combined carcinoma and malignant lymphoma in the stomach associated with tonsillar malignant lymphoma--report of a case. Gan No Rinsho. Japan Journal of Cancer Clinics 33(11): 1379-1384, 1987

Atypical type 4 carcinoma of the stomach difficult to differentiate from acute gastric mucosal lesion, report of a case. Stomach & Intestine (Tokyo) 36(1): 103-109, January, 2001

A case of intrascrotal sclerosing lipogranuloma difficult to differentiate from malignant testis tumor. Japanese Journal of Clinical Urology 47(11): 874-876, 1993

A case report of malignant lymphoma with hepatocellular carcinoma a case of metastatic lymphoma of the stomach of which growing course was observed. Gastroenterological Endoscopy 33(5): 956-961, 1991