Reticulum Cell Sarcoma Difficult to Differentiate from Advanced Gastric Carcinoma Type Borrmann2 T. Hamada 1 , T. Yarita 1 , T. Ogiwara 1 , F. Okada 1 , T Maruyama 1 , N. Kuwabara 2 1Department of Internal Medicine (Gastroenterology), School of Medicine, Juntendo University pp.911-914
Published Date 1980/9/25
DOI https://doi.org/10.11477/mf.1403112772
  • Abstract
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 An asymptomatic 53 year-old man was referred to our department for full investigations of the stomach with possible carcinoma which was shown at. the gastric mass survey. Both a barium meal study and gastrocamera examination well visualized a big, flat elevated tumor with central depression along the lesser curvature of the body. Biopsy specimens from the tumor were reported as showing malignant lymphoma cells, and therefore, he had total gastrectomy done.

 In the resected specimen, there was a big, rather flat elevated tumor with central depression 7×6 cm in size very similar to advanced gastric carcinoma type Borrmann 2. The histological diagnosis of the tumor was reticulum cell sarcoma without secondary deposits in- the regional lymph nodes. The patient is still alive and doing very well up to 21 months after the surgery.

 From radiological point of view, diagnostic signs for this type of malignant lymphoma are a flat mucosal elevation with central depression and rather well-reserved pliability of involved gastric wall.

Copyright © 1980, Igaku-Shoin Ltd. All rights reserved.


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