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- Title
Primary gastric lymphoma with arterial bleeding.
- Authors
YABUKI, KIYOTAKA; MAEKAWA, TAKEO; SATOH, KOICHI; TAMASAKI, YOSHIHISA; MAEKAWA, HIROSHI; KUDO, KEIZO; KAWA, IKUKYO; WADA, RYO; MATSUMOTO, MICHIO
- Abstract
We experienced a case of primary gastric lymphoma with arterial bleeding. The case was an 88-year-old-man who was admitted to our hospital with hematemesis. Gastroduodenal endoscopy revealed a gastric ulcerating tumor with arterial bleeding in the posterior wall of the angular gastric region, and a distal subtotal gastrectomy with lymph node dissection was performed. The resected tumor measured 7.0 × 3.0 cm in size with a blood vessel visible in the bottom of the ulcer. Pathologic examination confirmed a diagnosis of B-cell malignant lymphoma of the diffuse large cell type. Metastasis was detected in nos 3 and 5 lymph nodes. According to the Ann Arbor and Naquvi classifications, the lymphoma was stage IIE and II, respectively. One year and 10 months after the operation, a computed tomography scan revealed a few swollen lymph nodes around the abdominal aorta. Recurrence of lymphoma was confirmed and chemotherapy comprising cyclophosphamide, doxorubin, vincristine and predonisolone was given at half the ordinary adult dose.
- Subjects
JAPAN; B cell lymphoma; ARTERIES; GASTRIC mucosa
- Publication
Digestive Endoscopy, 2002, Vol 14, Issue 1, p22
- ISSN
0915-5635
- Publication type
Article
- DOI
10.1046/j.1443-1661.2002.00159.x