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The Case of Lymphosarcoma Involved Primary at the Left Tonsilla and Secondary at the Stomach and Caecum T. Kamano 1 , A. Nagahama 1 , S. Shida 1 , T. Tsukada 2 , S. Nishida 3 , T. Murakami 4 1The Dept. of Surgery, Juntendo University. School of Medicine 2The Dept. of Int. Med., Juntendo University. School of Medicine 3The Dept. of Oto-pharyngo Laryngology, Juntendo University. School of Medicine 4The Dept. of Surgery, Tokyo Medical and Dental College pp.217-223
Published Date 1973/2/25
DOI https://doi.org/10.11477/mf.1403108368
  • Abstract
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 A case of 61-year-old male with lymphosarcoma of the left tonsilla treated by Cobalt irradiation and 2 years later involved lymphosarcoma secondary at the stomach and caecum is reported in the this paper.

The tumor of left tonsilla disappeared by Cobalt irradiation (total dosis 3,750γ). After 2 years, the patient complained the weight-loss and distention of the abdomen. Tumors at the epigastrium, ileocaecal region, bilateral axillar and inguinal lymphnodes were palpated. And splenomegalia wed found, too. Radiological examination revealed the tumor in the epigastric and ileocaecal region are localized at the stomach and caecum. Histopathologic diagnosis of biopsy specimen from the tumor of the stomach was lymphosarcoma.

 Tumor of the stomach and caecum was resected by surgical procedures. And granulomas of eggs of Schistosomiasis japonicum at the serosal wall of the urinary bladder were also resected at the same time.

 The histopathologic study of rescected specimens revealed that the tumors at the stomach and caecum were lymphosarcoma, same type with the left tonsilla.

 The patient is well now after 2 years of surgical treatment.

 The case of lymphosarcoma with tonsilla, stomach and caecum is very rare.


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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