Lucisano E, Cenesi R, Fortunato C, Mancini L
Istituto Clinico di Chirurgia, Clinica Chirurgica III, Università di Bologna.
Ann Ital Chir. 1992 Jul-Aug;63(4):471-4; discussion 474-5.
The authors describe a rare case, recently observed by them, of coexisting primary lymphoma and adenocarcinoma of the stomach. After illustrating the more salient aspects of the clinical and anatomopathological pattern, the Authors discuss the general issue of the simultaneous presence of the two pathologies, analysing in particular their classification and etiopathogenic aspects. They then discuss the peculiar aspects of the case considered, including the preoperative diagnosis of non-Hodgkin gastric lymphoma, and highlight the fact that, unlike what is more frequently reported in the literature, the carcinomatous component had been completely ignored. As a final consideration, they stress the importance of studying this rare combination of tumoral components in order to gain a better understanding of oncogenic mechanisms so far unknown.
作者描述了他们最近观察到的一例罕见的胃原发性淋巴瘤与腺癌共存病例。在阐述了临床和解剖病理学模式的更显著方面后,作者讨论了这两种病理同时存在的一般问题,特别分析了它们的分类和病因学方面。然后他们讨论了所考虑病例的特殊方面,包括非霍奇金胃淋巴瘤的术前诊断,并强调了这样一个事实,即与文献中更常见报道的情况不同,癌性成分被完全忽视了。作为最后的思考,他们强调研究这种肿瘤成分的罕见组合对于更好地理解迄今未知的致癌机制的重要性。