|
KMID : 1141320200350020114
|
|
Kosin Medical Journal
2020 Volume.35 No. 2 p.114 ~ p.124
|
|
|
Differences in Endoscopic Findings of Primary and Secondary Gastric Lymphoma
|
|
Jung Kyoung-Won
Jeon Hae-Soo
Park Moo-In
Choe Il-Hyeong
Je Hyun-Seung
Kim Jae-Hyun
Kim Sung-Eun
Moon Won
Park Seun-Ja
|
|
|
Abstract
|
|
|
Objectives: Since endoscopic findings of primary gastric lymphoma are ambiguous and diverse, it is not easy to distinguish them from gastric adenocarcinoma orsecondary gastric lymphoma. The aim of thisstudy wasto investigate the difference in clinical and endoscopic features between primary gastric lymphoma and gastric involvement of lymphoma.
Methods: Forty-eight patients were enrolled in thisretrospective study between June 2008 and February 2017. The patients were divided into primary gastric lymphoma group (primary group, n = 18) and gastric involvement group (secondary group, n = 30) based on whether or not they carried gastric lesions alone. Patients’ clinical characteristics, endoscopic findings and pathologic data were retrospectively reviewed based on electronic medical records.
Results: The mean age of patients was 63.3 ± 13.1 years and 29 patients were female (60.4%). Diffuse large B-cell lymphoma pathology (81.3%), gastric body involvement (47.9%) and ulceroinfiltrative morphology on endoscopy (43.8%) were common features. Regardless of the two groups, the initial endoscopic diagnosis was considered as lymphoma only in 41.7%. Compared with the primary group, fundus (P = 0.035) and regional lymph node (P < 0.001) were significantly associated with the secondary group. However, there was no significant difference in endoscopic findings including location, size, number, and morphology of lesion.
Conclusions: Endoscopic diagnosis of gastric lymphoma is a challenge. There is no difference in endoscopic findings between the primary and secondary groups even when confirmed separately. However, when the lesion is present in the fundus, we keep in mind the possibility of secondary gastric lymphoma.
|
|
|
KEYWORD
|
|
|
Endoscopy, Lymphoma, Stomach neoplasm
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|
|