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Endoscopic Diagnosis of Gastric Malignant Lymphoma M. Hiyama 1 , S. Fukuchi 1 , T. Mochizuki 2 1Dept. of Gastroenterology, Toranomon Hospital 2Dept. of Pathology, Toranomon Hospital pp.165-176
Published Date 1973/2/25
DOI https://doi.org/10.11477/mf.1403108358
  • Abstract
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 The present status of clinical diagnosis in Toranomon Hospital for gastric malignant lymphoma is discussed together with some diagnostic problems in endoscopy and endoscopic biopsy. Our conclusion is follows:

 1. When its characteristics are duly taken into account, some cases of gastric malignant lymphoma can be diagnosed by endoscopy, but quite a number of it are so hard to distinguish from gastric cancer that there is a limit to endoscopic diagnosis. Of 11 cases of malignant lymphoma, we arrived at accurate diagnosis in only 5 cases at the initial FGS examination.

 2. Diagnosis of malignant lymphoma by endoscopic biopsy harbors some technical difficulties as compared with that of gastric carcer. Histologic diagnosis is also a little more difficult. However, as it is clinically a very effective diagnostic method, it would surely become a definite procedure in the diagnosis of this malignant neoplasm, according as we gain experiences in the histologic diagnosis of biopsied materials and according as our diagnostic ability improves. At present, our gastric biopsy in nine cases of malignant lymphoma resulted in accurate diagnosis in six and tentative one in two.

 3. Although of rare occurrence, this neoplasm should always be borne in mind at every endoscopy of the stomach. Whenever suspicion arises, one should positively employ gastric biopsy. Results of clinical diagnosis would surely be improved then.

 4. Because not a few cases may respond favorably to radiation or chemotherapy, clinical diagnosis becomes essential in launching principles of therapy including surgical correction. A case of malignant lymphoma is also described in which the gastric lesion was gone after radiation and chemotherapy.


Copyright © 1973, 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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