Malignant lymphoma of the gastric stump developing 25 years after a distal gastrectomy for benign gastric disease: Report of a case |
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| Authors: | Ken Kondo Yasuhisa Yokoyama Isao Yokoyama Manabu Kikuchi Yasushi Kuno Masato Kataoka Tooru Ichihara Masumasa Horisawa Seiji Akiyama Katsuki Ito Hiroshi Takagi |
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| Affiliation: | (1) Department of Surgery, Nagoya National Hospital, 4-1-1 Sannomaru, Naka-ku, 460 Nagoya, Japan;(2) Yokoyama Gastrointestinal Hospital, 3-11-20 Chiyoda, Naka-ku, 460 Nagoya, Japan;(3) Second Department of Surgery, Nagoya University School of Medicine, 65 Tsurumaicho, Showa-ku, 466 Nagoya, Japan |
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| Abstract: | We report herein the case of a 57-year-old man in whom malignant lymphoma originating in the gastric remnant was confirmed 25 years after a subtotal gastrectomy with Billroth II reconstruction had been performed for gastric ptosis. Gastroscopy revealed an ulcerated tumor on the fornix, and histologic examination of the endoscopic biopsy specimens demonstrated malignant lymphoma. Thus, total gastrectomy with splenectomy, pancreatectomy, and resection of the previously anastomosed jejunal stoma were performed. Histologic examination of the stomach remnant comfirmed a diagnosis of B-cell lymphoma of the large-cell type. Although we were unable to study the surgical specimen from the initial operation, the possible relationship between pseudolymphoma and malignant lymphoma has been presented in the literature, which is reviewed following this case report. |
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| Keywords: | malignant lymphoma gastric stump |
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