Higashi T, Tamura K, Fukui K, Kurata A
Dept. of Gastroenterology, Osaka National Minami Hospital.
Gan No Rinsho. 1987 Sep;33(11):1368-73.
In a gastric neoplasm, malignant lymphoma is a relatively rare disease and a malignant lymphoma complicated by a carcinoma is very rarely found in the same stomach. As far as we could determine in a search of the literature, the coexistence of a gastric cancer and a malignant lymphoma was found in only 30 cases including our case and collision was seen in 10 of these. Our report concerns a recent case of malignant gastric lymphoma colliding with II c early gastric cancer, and is followed by a discussion. The patient, a man of 68, had complained of epigastralgia. The case was diagnosed as a gastric malignant lymphoma after an upper gastrointestinal roentgenogram and endoscopy. A biopsy revealed a torous malignant lymphoma (diffuse medium-sized cell type) and an II c early gastric cancer (tub 2) and suggested the collision between them.
在胃肿瘤中,恶性淋巴瘤是一种相对罕见的疾病,而同一胃部同时并发癌的恶性淋巴瘤则极为罕见。就我们查阅文献所能确定的情况而言,胃癌与恶性淋巴瘤并存的情况仅在包括我们的病例在内的30例中被发现,其中10例呈现碰撞现象。我们的报告涉及一例近期发生的胃恶性淋巴瘤与Ⅱc型早期胃癌碰撞的病例,并随后进行讨论。患者为一名68岁男性,主诉上腹部疼痛。经上消化道X线造影和内镜检查后,该病例被诊断为胃恶性淋巴瘤。活检显示为环状恶性淋巴瘤(弥漫性中等大小细胞型)和Ⅱc型早期胃癌(管状2型),提示二者之间存在碰撞。