SUCCESSFUL TREATMENT OF PRIMARY GASTRIC LYMPHOMA DIAGNOSED AS TUMOR PERFORATION

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  • 胃穿孔を契機に発見された胃悪性リンパ腫の１例

Abstract

We report herein the case of a 73-year-old man who was admitted to our hospital with a complaint of epigastralgia. CT scan of the abdomen revealed free air and ascites. Endoscopic examination of the stomach revealed an oval, and infiltrative ulcerating lesion in the anterior of the middle body. The results of these imaging studies indicated gastric perforation with panperitonitis, and an emergency laparotomy was performed. At first, simple closure with an omental patch was performed to save his life. The specimen from a perforated ulcerating lesion showed malignant lymphoma. Then, ten days later, total gastrectomy with Roux-en Y anastomosis and lymph node dissection was performed. The final diagnosis was primary gastric lymphoma of diffuse large B-cell type. There was no evidence of lymph node metastases and peritoneal dissemination.

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