噴門部胃悪性リンパ腫の1例

Malignant Lymphoma Localized at the Cardia of the Stomach, Report of a Case

　症例

　患　者：58歳，女．

　主　訴：食物摂取時の心窩部のしみる痛み．

　家族歴：特記すべきことなし．

　既往歴：20歳虫垂切除術．53歳胃炎，自律神経失調症．

　現病歴：1979年夏ごろからおくびが出るようになった．同年11月胃集団検診を受け，異常を指摘され，精査をすすめられた．1980年1月ごろから食物摂取時に心窩部のしみるような痛みを感じるようになり，2月18日，宮城県対癌協会より当科へ紹介され，入院した．

　A 58-year-old woman, complaining of postprandial stomachache of 3 months' duration, was admitted to our hospital as an abnormality was found in the cardia at a gastric mass survey. Upper G. I. series and endoscopy disclosed at the cardia an ulceration looking like a Borrmann 2 change. Taking into consideration of findings of gastric biopsy and cytology, we have arrived at a preoperative diagnosis of malignant lymphoma. Resected specimen showed a shallow ulceration, 51×40 mm, extending from the anterior to posterior wall of the cardia. Histologically the ulcerated lesion belonged to malignant lymphoma of large cell type, reaching the proper muscular coat. No metastasis to lymph nodes was recognized.