La Torre F, Nicastro A, Crescenzi U, Persico Stella L, Clarioni A, Pontone P, Montori A
III Patologia Speciale Chirurgica e Propedeutica Clinica, Università degli Studi La Sapienza, Roma.
G Chir. 1993 Mar;14(3):181-4.
The authors report a case of non-Hodgkin's lymphoma (lymphoplasmocytoid type) arisen on the gastric stump of a patient operated 18 years before according to Billroth II gastric resection for peptic ulcer. They underline the extraordinary rarity of the event because this type of neoplasia never arises on the gastric stump, where would be more likely to find, due to irritative chemical stimuli of the biliary reflux, phenomena of intestinal metaplasia or severe dysplasia highly predisposing to adenocarcinomas. Furthermore, they stress the importance of a "deep" bioptic examination for a diagnosis as early as possible of this type of pathology.
作者报告了一例非霍奇金淋巴瘤（淋巴浆细胞样型），发生在一名18年前因消化性溃疡接受毕Ⅱ式胃切除手术患者的胃残端。他们强调了该病例的极其罕见，因为这种类型的肿瘤从未在胃残端发生，而由于胆汁反流的刺激性化学刺激，在胃残端更可能发现肠化生或严重发育异常现象，这些现象极易引发腺癌。此外，他们强调了“深度”活检检查对于尽早诊断此类病理的重要性。
