Zippel K, Hoksch B, Zieren H U
Klinik und Poliklinik für Chirurgie, Medizinische Fakultät, Humboldt-Universität zu Berlin.
Chirurg. 1997 May;68(5):540-2. doi: 10.1007/s001040050227.
Gastric involvement of Hodgkin's disease is very rare and preoperative diagnosis is difficult. We report the case of a 50-year-old woman, who had an ulcerating tumor of the antrum, which was revealed as carcinoma by endoscopic biopsy. A gastrectomy with D2-lymph node dissection was performed. In the pathological specimen Hodgkin's disease was diagnosed because of microscopic detection of typical binucleated Reed-Sternberg cells. Although the patient refused additive chemotherapy, she is still disease-free after 12 months of follow-up.
霍奇金淋巴瘤累及胃部非常罕见,术前诊断困难。我们报告一例50岁女性病例,该患者胃窦部有一溃疡性肿瘤,内镜活检显示为癌。遂行D2淋巴结清扫胃切除术。病理标本因镜下检测到典型的双核里德-施特恩贝格细胞而诊断为霍奇金淋巴瘤。尽管患者拒绝辅助化疗,但随访12个月后仍无疾病复发。