Early Malignant Lymphoma of the Stomach, Report of a Case Y. Noguchi 1 , M. Ito 1 , T. Tmomatsu 1 1The First Department of Internal Medicine, School of Medicine, Nagoya City University pp.1139-1145
Published Date 1981/10/25
DOI https://doi.org/10.11477/mf.1403108244
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 The patient, a 48-year-old woman, complained of epigastric dull-pain for a month and was admitted to our hospital.

 X-ray examination showed a shallow mucosal depression like IIc type early gastric carcinoma on the anterior wall of the antrum. But the outline of this lesion was sharp and smooth. And also, converging mucosal folds were smooth and no swelling at the tips.

 Endoscopic study showed a shallow mucosal depression with converging mucosal folds on the anterior wall of the antrum. There was a small white coat at the oral side of this depression. And, at the anal side the surrounding mucosa of this lesion showed a slight elevation, and its surface seemed to be smooth. Total gastrectomy was performed in June 1980.

 Microscopical examination of the resected specimen revealed diffuse tumor cell infiltration limited to the mucosal and submucosal layer. Pathological diagnosis was malignant lymphoma(mixed cell, histiocytic-lymphocytic). No metastasis was found in dissected lymph nodes.

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