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Gastric Reticulum Cell Sarcoma Followed Up for Four Years and Two Months S. Nakazawa 1 , S. Kawaguchi 1 , J. Yoshino 1 , T. Ichikawa 1 , M. Okada 1 , H. Sugiyama 1 , Y. Yamamoto 2 , M. Kajikawa 2 1The Second Department of Internal Medicine, Nagoya University, School of Medicine 2Internal Medicine, Toyohashi City Hospital pp.527-530
Published Date 1981/5/25
DOI https://doi.org/10.11477/mf.1403108048
  • Abstract
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 A 39-year-old man visited our hospital on July 14, 1974, with a chief complaint of epigastralgia. The initial x-ray and endoscopic examination showed multiple shallow irregular-shaped depressions surrounded by various rounded granular elevations on the posterior wall from the antrum to the lower body of the stomach. As biopsy revealed no abnormality, suspicious diagnosis of so-called lymphoid hyperplasia (LH) of the stomach was made. The patient was placed under observation. Fifteen months later, the lesions became worse and more extensive compared with the findings at the initial examination. Although malignant lymphoma was highly suspected, as erosions and ulcers almost disappeared after two months and repeated biopsy was negative for malignancy, he was again placed under observation. Two years and eight months later, x-ray and endoscopic examination showed large irregular-shaped depression surrounded by low elevation and with smooth surface on the posterior wall from the antrum to the mid-body. These findings, were characteristic of malignant lymphoma. Total gastrectomy was performed on September 12,1978. On the resected specimen, a depressed lesion measuring 13×10 cm with marginal elevation was seen. Histologically, reticulum cell sarcoma invaded the upper part of the proper muscle layer, partially to the serosa.

 Follow up study of this case, for four years and two months, has given many instructive problems about its early diagnosis and possibility of the change from LH to malignant lymphoma.


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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