A Case of Malignant Lymphoma in the Residual Stomach

Fukumasa Tsuji, Fumitoshi Kimura, Yoshisada Yamasaki, Youichi Yamanaka*, Masahiko Yamamoto**

Department of Surgery, Shisou Municipal Hospital
*Yamanaka Clinic
**Department of Surgery, Himeji Saint Mary Hospital

A rare case of malignant lymphoma developing in the residual stomach 30 years after distal gastrectomy for gastric cancer is reported. Thirteen such cases reported in the Japanese literatures are also reviewed and discussed. The patient was a 74-year-old woman, with chief complaints of anorexia and left hypochondralgia. Thirty years earlier, she had undergone distal gastrectomy for gastric cancer. A nodular, protruding lesion was seen on the superior posterior wall of the greater curvature in the stomach, and this was diagnosed as a malignant lymphoma by gastrofiberscope. The residual stomach with spleen and pancreas tail was resected completely. The pathological findings indicated the lesion to be diffuse lymphoma of the medium-sized cell type or the mixed type. Postoperatively, the patient was administered four courses of CHOP-B, but the patient died 11 months after the operation. Even in cases of curative resection, since malignant lymphoma is a systemic disease, it is necessary to administer appropriate chemotherapy, and a flexible therapeutic approach is also essential. Malignant lymphoma of the residual stomach is often a comparatively progressive disease, and it is thus necessary to exercise caution with regard to patients with a residual stomach

Key words
malignant lymphoma, residual stomach

Reprint requests
Fukumasa Tsuji Department of Surgery, Shisou Municipal Hospital
93 Shikazawa, Yamasaki, Shisou, Hyougo 671-25 JAPAN

Accepted
September 9, 1992

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