Malignant Lymphoma of the Stomach Showing Multiple Saucer-like Appearance with Peptic Ulcers S. Nakazawa 1 , S. Kawaguchi 1 , J. Yoshino 1 , T. Ichikawa 1 , H. Nakano 2 , Y. Yamamoto 3 1The Second Department of Internal Medicine, Nagoya University School of Medicine 2Internal Medicine, Nagoya Hoken-Eisei University School of Medicine 3Toyohashi City Hospital pp.973-976
Published Date 1980/9/25
DOI https://doi.org/10.11477/mf.1403112796
  • Abstract
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 The following is a summary of the x-ray and endoscopic findings of the stomach of a 55 year-old woman with hunger pain in the epigastrium and weight loss.

 1. Multiple masses of peculiar shape were found on the posterior wall of the gastric body, converging to a central ulcer in a four-leaf clover fashion. They were round and saucer-like. Almost all of the surface of the masses were occupied by shallow, concentric depressions with smooth rims.

 2. In a short time, the forms of the lesions underwent a remarkable change.

 3. Ulcer lesions were observed both in the center of the multiple masses on the posterior wall and just at the opposite side of the anterior wall.

 These results led to a clinical diagnosis of malignant lymphoma of the stomach. The final diagnosis after surgical and pathological explorations was reticulum cell sarcoma with scars of multiple ulcer. Histologically, proliferation and infiltration of the tumor cells were limited to the mucosa and submucosa, but these cells were also found in the regional lymph nodes.

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