Gastric Lymphosarcoma Similar to Early Carcinoma Type Ⅱa+Ⅱc M. Furusawa 1 , I. Hayashi 1 , M. Koga 1 , H. Kiyonari 1 , K. Nakahara 1 , T. Nobe 1 1National Kyushu Cancer Center pp.931-934
Published Date 1980/9/25
DOI https://doi.org/10.11477/mf.1403112777
  • Abstract
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 We report a case of gastric lymphosarcoma which was confined to the submucosa and resembled gross findings of early carcinoma type Ⅱa+Ⅱc.

 The patient, a 22 years old man, was suffering from stomachache. X-ray studies revealed findings of early carcinoma type Ⅱa+Ⅱc and/or advanced carcinoma type Borrmann 2 located on the antrum (Fig. 1, 2). Endoscopic examination showed findings of early carcinoma type Ⅱa+Ⅱc (Fig. 3). Histopathological study of 8 specimens obtained by repeated biopsies suggested undifferentiated carcinoma or malignant lymphoma (Fig. 4). Gastric juice was normoacidic.

 Operation was performed on June 8, 1977. Subtotalgastrectomy with extended lymph node dissection was done. The lesion in the resected specimen measured 3.0×2.2 cm and localized on the antrum (Fig. 5). Histopathological study showed findings of lymphocytic and lymphoblastic mixed type lymphosarcoma and infiltration to the submucosa (Fig. 6). No metastasis was found in dissected lymph nodes.

 Postoperative progress is satisfactory with no evidence of recurrence. The present case is appeared to simulate early gastric carcinoma. It seemed to be in an early stage of lymphosarcoma which often tends to form a tumor with ulceration.

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