HTLV-I Associated Primary Gastric Lymphoma, Report of a Case Hiroyuki Sakata 1 , kazuma Fjimoto 1 , Takeharu Hisatsugu 4 1Department of Internal Medicine, Saga Medical School 2Department of Radiology, Saga Medical School 4Department of Surgery, Saga Medical School Keyword: 胃病変 , 内視鏡像 , X線像 pp.1181-1186
Published Date 1994/10/25
DOI https://doi.org/10.11477/mf.1403105946
  • Abstract
  • Look Inside

 We reported a rare case of adult T-cell leukemia/lymphoma in the stomach. A 63-year-old woman born in Saga prefecture was admitted to a hospital complaining of epigastralgia. Endoscopic examination showed ulcerative lesions around the gastric angle. Endoscopic examination two months later exhibited variform lesions in the stomach including irregular elevated lesions with ulcerations in the angle, diffuse mucosal thickening, and a mass lesion in the fornix. Histological examination of these lesions revealed non-Hodgkin's lymphoma. Anti-HTLV-I antibody was positive in the serum and HTLV-I pro-viral DNA was positive in the biopsy sample from the stomach. Neither abnormal lymphocyte nor HTLV-I pro-viral DNA was positive in the peripheral blood and the bone marrow. Neither lymph node swelling nor metastasis to the other organs was observed in the abdominal CT-scanning and abdominal echogram. These data indicated that diagnosis of the present case was HTLV-I associated with primary gastric lymphoma.

Copyright © 1994, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院