Jejunal B-cell MALT Lymphoma with Gastric Cancer after Left Nephrectomy for Renal Cell Carcinoma -A Case Report-

Tadashi Tsukamoto¹⁾²⁾, Yasuhiro Ohta²⁾, Takatsugu Yamamoto³⁾, Shoji Kubo²⁾, Kazuhiro Hirohashi²⁾, Hiroaki Kinoshita²⁾

¹⁾Ashihara Hospital
²⁾Second Department of Surgery, Osaka City University Medical School
³⁾Second Department of Pathology, Osaka City University Medical School

A 52-year-old man visited our hospital in October 1996 because an abnormal shadow was found on gastrograms during a general health check up. Six years earlier, a left renal cancer had been treated by left nephrectomy and interferon had been injected postoperatively for 6 month. Gastric cancer was diagnosed by endoscopy. Upon laparotomy, tumors were found on the gastric wall and also in the beginning of the jejunum. Distal gastrectomy and lymph node dissection were performed for the gastric cancer and partial resection of the jejunum for the jejunal tumor. The jejunal stump was anastomosed to the second portion of the duodenum side-by-side, and then gastrojejunostomy was performed end-to-side. The jejunal tumor was 6×9 cm in diameter and its microscopic findings revealed malignant lymphoma of mucosa-associated lymphoid tissue. After surgery, chemotherapy was administered for the lymphoma and the patient has been alive for 19 months without any sign of recurrence.

Key words
gastric cancer, MALT lymphoma of the jejunum, renal cell carcinoma

Reprint requests
Tadashi Tsukamoto Second Department of Surgery, Oska City University Medical School
1-5-7, Asahi-machi, Abeno-ku, Osaka, 545 JAPAN

Accepted
September 16, 1998

To read the PDF file you will need Abobe Reader installed on your computer.