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KMID : 0371320020620050446
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Journal of the Korean Surgical Society
2002 Volume.62 No. 5 p.446 ~ p.449
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Multiple Ulcerating Malignant Lymphoma of the Gastrointestinal Tract with Perforation
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Ryu Byoung-Yoon
Kim Tae-Hwa
Jeon Jang-Yong
Kim Tae-Hee
Cho Ji-Woong
Lee Hae-Wan
Kim Hong-Ki
Choi Kyung-Chan
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Abstract
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Malignant lymphoma of the gastrointestinal tract is a rare lesion, which comprises 1~4% of the malignant neoplasms of the gastrointestinal tract. Abdominal pain and weight loss are the most common symptoms and an abdominal mass, the most common
physical
finding. This tumor is often discovered at a late stage; a diagnosis should be done on all patients undergoing an emergency operation for an obstruction, hemorrhage, or perforation.
We report a case of a multiple ulcerating malignant lymphoma
of the
gastrointestinal tract with perforation in a 60 year-old male. The patient visited our hospital because of a sudden onset of acute abdominal pain. The operative finding was multiple masses on the small bowel, sigmoid colon, and stomach, plus
multiple
perforations of the small bowel. We performed a multiple small bowel segmental resection and an anastomosis at the site of the perforated lesion. The pathologic evaluation diagnosed it as a malignant lymphoma and the patient was treated with
cyclophosphamide, adreiamycin, and vincristine. We report this rare disease with a review of the literature.
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