短期間に病像の変化した胃悪性リンパ腫の1例

Malignant Lymphoma of the Stomach Showing a Change within a Short Period

　短期間に病像の変化した胃悪性リンパ腫を経験したので報告する．

　症　例

　患　者：Y. N.（0-281），38歳，男，会社員．

　家族歴：父が胃潰瘍に罹患．

　既往歴：特記事項なし．

　現病歴：3カ月前より空腹時および早朝の心窩部痛を訴え近医を受診しX線検査の結果，角上部胃潰瘍を指摘され1973年12月7日胃内視鏡検査を依頼されて当院来院．

　A 38 year-old male had complaints of epigastric pain. The case showed the following characteristics which were confirmed by radiological and gastroendoscopic examination and was definitely diagnosed as malignant lymphoma by gastric biopsy, and was surgically treated.

　Irregularly shaped multiple ulcers and scars were observed in a widely spread and very shallow type Ⅱc-like excavated area or with irregular coarse granular mucosal surface.

　The margin of the excavated area was not clear and the niveau difference was not distinct. On the mucosal surface, many erosions were scattered, and the loss of luster was not so remarkable. At the end of the mucosal folds converging into ulcerative lesions, there was no rodent picture generally observed in case of gastric cancer.

　This case had been placed on a strict medical treatment for one month. However, a new ulcer developed independently at another site.

　Conclusively the characteristic pattern of the lesions may be a meaningful clue to the diagnosis of this kind of disease.