A Case of Primary Gastric T-cell Malignant Lymphoma

Hiroshi Manaka, Chikara Kunisaki, Yasushi Ichikawa, Hiroshi Kanaya, Naomi Matsumura, Hiroyuki Yamaoka, Hiroshi Shimada, Yukio Nakatani^* and Hitoshi Kitamura^*

2nd Department of Surgery and Department of Pathology^*, Yokohama City University

A 77-year-old female with a chief complaint of anorexia was admitted to our hospital with a diagnosis of type 4 gastric cancer. Gastroenterologic evaluations revealed giant folds with ulcers in the upper and middle third of the stomach, and histologic study revealed diffuse medium-sized cell type malignant lymphoma, Tcell type. Chemotherapy with CHOP was administered two times prior to surgery with a diagnosis of Stage III (Naqvi). The patient underwent total gastrectomy, and pancreatosplenectomy with D₂ lymph node dissection, which resulted in curability C. She died of lymph node metastasis 10 months later. T-cell type malignant lymphoma of the stomach is rare and complete remission is difficult to achieve. Establishment of an effective chemotherapy protocol is urgently needed for Tcell type malignant lymphoma of the stomach.

Key words
chemotherapy for malignant gastric lymphoma, T-cell type of malignant gastric lymphoma

Reprint requests
Hiroshi Manaka Second Department of Surgery, Yokohama City University 3-9 Fukuura, Kanagawa-ku, Yokohama, 236-0004 JAPAN

Accepted
March 31, 1999

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