Choi Sun Young, Lee Joung Il, Noh Tae June, Jang Jae Young, Nam Ki Deuk, Kim Nam Hoon, Lee Sang Kil, Joo Kwang Ro, Dong Seok Ho, Kim Hyo Jong, Kim Byung Ho, Chang Young Woon, Chang Rin
Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2006 May;47(5):394-6.
Gastrectomy is known to be a risk factor for adenocarcinoma in remnant stomach. It is suggested that reflux of bile juice or duodenal secretion to remnant stomach induces atrophic gastritis, intestinal metaplasia, and gastric adenocarcinoma. Malignant lymphoma in remnant stomach after gastrectomy is very rare. Only about thirty cases are reported in the world, and there is no case report in Korea. Gastric MALT (mucosa-associated lymphoid tissue) lymphoma is associated with Helicobacter pylori infection but the mechanism of lymphoma development in remnant stomach is still unknown. We report a case of low grade gastric MALT lymphoma of gastric stump after 10 years from partial gastrectomy.
已知胃切除术是残胃癌发生腺癌的一个危险因素。有人提出,胆汁或十二指肠分泌物反流至残胃会诱发萎缩性胃炎、肠化生和胃腺癌。胃切除术后残胃发生恶性淋巴瘤非常罕见。全世界仅报道了约30例,韩国尚无病例报告。胃黏膜相关淋巴组织(MALT)淋巴瘤与幽门螺杆菌感染有关,但残胃淋巴瘤的发生机制仍不清楚。我们报告1例胃部分切除术后10年发生的残胃低级别胃MALT淋巴瘤病例。