Hodgkin's Disease of the Stomach T. Kawasaki 1 , M. Kikuchi 3 1Department of Surgery, Toride Kyodo Hospital 3Department of Pathology, University of Tsukuba pp.915-918
Published Date 1980/9/25
DOI https://doi.org/10.11477/mf.1403112773
  • Abstract
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 The patient, 69 year-old man, had an episode of epigastralgia 5 years before operation. At that time, radiologic and endoscopic examinations were essentially within normal limits. Epigastralgia occurred again. Then, the radiological examination of the upper gastrointestinal tract revealed a man's fist-sized tumor shadow in the fornix of the stomach, in which contraction of the stomach wall was not observed. Endoscopic examination disclosed a protruded lesion with a center of large ulceration. Biopsy materials endoscopically taken from the tumor diagnosed as malignant lymphoma histologically. Total gastrectomy was performed.

 In the resected stomach, there was a protruded tumor of the fornix with ulcerations, measuring approximately 85×75 mm, which was relatively welldemarcated. The tumor cells infiltrated into the serosa and 4 out of 25 regional lymph nodes were involved. According to Rye's classification of Hodgkin's disease, the tumor belongs histologically to lymphocytic depletion type.

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