A case report of gastric follicular lymphoma which presented a protruded lesion

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  • Shimura Kazumasa
    Department of Gastroenterology,Tokyo Women's Medical University Aoyama Hospital
  • Misaka Ryoichi
    Department of Gastroenterology,Tokyo Women's Medical University Aoyama Hospital
  • Furukawa Maiko
    Department of Gastroenterology,Tokyo Women's Medical University Aoyama Hospital
  • Furuichi Yuko
    Department of Gastroenterology,Tokyo Women's Medical University Aoyama Hospital
  • Kuboki Yuko
    Department of Gastroenterology,Tokyo Women's Medical University Aoyama Hospital
  • Hotta Junko
    Department of Gastroenterology,Tokyo Women's Medical University Aoyama Hospital
  • Ishikawa Takayuki
    Department of Gastroenterology,Tokyo Women's Medical University Aoyama Hospital
  • Niimi Akiko
    Department of Gastroenterology,Tokyo Women's Medical University Aoyama Hospital
  • Shigemoto Mutsuo
    Department of Gastroenterology,Tokyo Women's Medical University Aoyama Hospital
  • Ooishi Hideto
    Department of Surgery, Tokyo Women's Medical University Aoyama Hospital
  • Maeda Athushi
    Institute of Geriatrics, Tokyo Women's Medical University
  • Masuda Michihiko
    Department of Blood internal medicine, Tokyo Women's Medical University
  • Imamura Tetsuo
    Department of Pathology, Teikyo University Hospital

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Other Title
  • 隆起型を呈した胃follicular lymphomaの1例

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Description

症例74歳男性。健診でCEA7.4mg/dlと上昇を認め，上部消化管内視鏡検査を施行したところ，胃体上部前壁に直径20mm大の頂部に陥凹を伴う隆起性病変を認めた。内視鏡像からはGISTを考えたが，生検結果では悪性リンパ腫が疑われ，腹腔鏡下胃部分切除術施行となった。切除標本ではCD10，CD20，bcl-2が陽性で，Follicular lymphoma（B-cell）と診断された。所属リンパ節の転移を認め，慎重な術後の経過観察が必要と考えられた。

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