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KMID : 0381219870190040380
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Journal of RIMSK
1987 Volume.19 No. 4 p.380 ~ p.385
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A Case of Primary Gastric Lymphoma
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Abstract
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Primary lymphoma of the stomach is much less common than adenocarcinoma of the stomach, and in most reviews it presents less than 5 percents of all gastric neoplasm. This disease represent 2 to 3 percent of all non-Hodgkin´s lymphomas and therefore is the most common (15 to 20 percent) of all extranodal non Hodgkin´s lymphomas.
A case of primary gastric lymphoma is presented with review of literatures. A 62-year-old male was admitted to this hospital with a 3 days history of left upper quadrant abdominal palpable mass and weight loss (15 Kg/yr). Physical examination on admission revealed left upper quadrant abdominal palpable mass, its size was 4 x 5 cm and mass was hard and nodular, the margin was blunted and patient did not complain tenderness. No hepatosplenomegaly was detected and peripheral LN was not palpable.
Laboratory findings were with normal limit except strong positive occult blood in stool examination.
Gastrofiberscopy showed a large nodular mass with deep ulceration’s on the anterior wall aspect of high body and the covering mucosa was hyperemic. Radiologically, Upper GI series showed a well circumscribed filling defects with central ulceration in the anterior wall of the mid and high body of stomach. Adjacent mcosal folds are thickened and effaced with the bridging. Abdominal computed tomography revealed diffudely and nodulary thickened wall in fundus, high body along the anterior wall of the stomach. Large air collection space between the mass is ulceration. No focal lesion within the liver, spleen, pancreas and no evidence of lymphadenopathy.
Microscopically, gastric mucosa represent diffuse infiltration of lymphoid cells. The individual tumor cells are of large and have vesicular nuclei with prominent nucleoli.
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