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Malignant Lymphoma of the Stomach Difficult to Differentiate from Advanced Gastric Carcinoma M. Kawaguchi 1 , Y. Harada 1 , K. Yoshimura 1 , T. Saito 1 , S. Ashizawa 1 1Department of Internal Medicine, Tokyo Medical College pp.433-436
Published Date 1981/4/25
DOI https://doi.org/10.11477/mf.1403108002
  • Abstract
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 A 63 year-old man consulted a neighborhood physician for abdominal distension and was sent to our hospital for detailed examination. By x-ray examination of the stomach, some irregular niches in the anterior wall of the gastric angle and dam-shaped rises of the surrounding tissues were found. The extension of the gastric antrum was good. By gastric endoscopy, ulcers of irregular shapes were found in the anterior wall of the gastric angle and of the antrum near the greater curvature. By x-ray and endoscopy, the diagnosis was gastric cancer, but by biopsy, no tumor cells were found. However, with a positive suspicion of malignancy, an operation was carried out two months atrer the endoscopy.

 The results of the patho-histological examination were an ulcer scar on the anterior wall of the gastric angle and malignant lymphoma around the ulcer scar. Depth of invasion was limited to the submucosa. The histological view of the tumor cells was histiocytic lymphoma (by Rappaport). No lymph node metastasis was recognized.

 This macroscopic type belongs to the “superficial type” of its classification by Sano.


Copyright © 1981, Igaku-Shoin Ltd. All rights reserved.

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

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