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KMID : 0378120020290010139
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Chungnam Medical Journal
2002 Volume.29 No. 1 p.139 ~ p.146
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Clinical Features of Primary Gastric Lymphoma
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Lee Byung-Seok
Lee Eaum-Seok
Kim Sun-Moon
Yang Hyeon-Woong
Seo Seung-Weon
Jeong Hyun-Yong
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Abstract
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Primary gastric lymphoma is the most common in extralymphoid and gastrointestinal lymphoma and clinical feature is variable. We reprted clinical feature of primary gastric lymphoma. Seventeen cases of primary gastric lymphoma were analyzed retrospectively from March, 1996 to December, 2000. Clinical feature and endoscopic finding with pathologic finding were analyzed. Mean age of patients was 57.6 years and M/F ratio was 1.12 to 1. The most frequent initial symptoms were epigastric discomfort and weight loss (each 47.1%). Endoscopic findings were ulcerofungating and ulceroinfiltrative lesion(each 29.4%), followed by infiltrative lesion (23.4%). Primary gastric lymphoma was suggested in 7 cases, advanced gastric cancer in 5 cases and eary gastric cancer in 2 cases. According to histologic finding, MALToma was 6 cases. One case of MALToma has done Helicobacter pylori eradication therapy. The overall 2 year and 3year survival rate were 63.3% and 50.0%. Differential diagnosis of primary gastric lymphoma and gastric adenocarcinoma was difficult in endoscopic finding. But early and precise diagnosis may been important because that prognosis of primary gastric lymphoma was superior to gastric adenocarcinoma.
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KEYWORD
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Primary gastric lymphoma, Endoscopic finding, Clinical feature
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