Malignant Lymphoma of the Stomach Simulating Polypoid Carcinoma K. Tanehiro 1 , Y. Yoshii 1 , T. Kasugai 1 , T. Morimoto 2 11st Department of Internal Medicine, Aichi Cancer Center Hospital 23rd Department of Surgery, Aichi Cancer Center Hospital pp.939-942
Published Date 1980/9/25
DOI https://doi.org/10.11477/mf.1403112779
  • Abstract
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 A 32 year-old male with an 8-month-history of fasting epigastric pain was referred to our hospital for a suspicion of malignant lymphoma of the stomach, after being treated as the multiple gastric ulcer.

 UGI series and endoscopy showed a large irregular polypoid lesion with multiple ulcerations of proximal antrum to angulus, which was histologically confirmed to be malignant lymphoma on biopsy specimens.

 Partial gastrectomy and splenectomy were performed.

 Resected specimen of the stomach demonstrated a large polypoid tumor associated with small nodules at the surrounding mucosa, simulating type Ⅰ+Ⅱa of early gastric carcinoma.

 Histologically, it was classified as malignant lymphoma, large cell type, diffuse. The depth of invasion was mostly limited within the mucosal layer. No lymph node metastasis was noted.

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


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