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KMID : 0931320120120010042
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대한상부위장관.헬리코박터학회지
2012 Volume.12 No. 1 p.42 ~ p.46
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A Case of Mantle Cell Lymphoma Exhibiting Features of Gastric Linitis Plastica Type of Advanced Gastric Cancer
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Kim Beom-Hee
Jeong Hyun-Yong
Sung Jae-Kyu
Kim Seok-Hyun
Kim Hye-Jin
Yoon Beom-Yong
Moon Hee-Seok
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Abstract
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Mantle cell lymphoma has a broad spectrum of endoscopic presentations, such as thick, rigid folds that are indispensible on air insufflation, superficial confluent ulceration, or a polypoidal mass protruding into the lumen. The exact diagnosis is difficult to make because the lesion is in the submucosal layer and inaccessible by biopsy. Lesions will often exfoliate necrotic cells which make interpretation difficult, or they may be too small in number and size and thus indistinguishable from anaplastic carcinoma. We report a case of mantle cell lymphoma with diffuse wall thickening of the whole stomach in a 51-year-old man. The series of endoscopic findings in this case support the role of differential diagnosis of linitis plasica type of advanced gastric cancer with mantle cell lymphoma.
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KEYWORD
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Mantle-cell lymphoma, Linitis plastica, Stomach neoplasms
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