NON-HODGKINS-LYMPHOMA OF THE GASTRIC STUMP DEVELOPING 9 YEARS AFTER A DISTAL GASTRECTOMY FOR A PEPTIC-ULCER - A CASE-REPORT AND REVIEW OF THE LITERATURE

被引：4

作者：

HONDA, K

WATANABE, F

NOMIZU, T

YAMAKI, Y

TSUCHIYA, A

ABE, R

机构：

[1] Department of Surgery, Hoshi General Hospital, Koriyama-city, Fukushima, 963

[2] Second Department of Surgery, Fukushima Medical College, Fukushima-city, Fukushima, 960-12

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1994年 / 24卷 / 09期

关键词：

GASTRIC LYMPHOMA; COMPLICATION OF GASTRECTOMY;

D O I：

10.1007/BF01636312

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We report herein the case of a 65-year-old man who developed non-Hodgkin's lymphoma of the gastric stump 9 years after undergoing a distal gastrectomy for a gastric ulcer. The patient presented with epigastric discomfort, and an upper gastrointestinal series and gastroscopy revealed a lymphoma lesion located close to the site of his gastroduodenal anastomosis. A total gastrectomy was performed, followed by combination chemotherapy, comprised of vincristine, Endoxan, prednisone and Adriamycin (VEPA). Histologically, the resected specimen was diagnosed as non-Hodgkin' s lymphoma. The patient has remained well without any signs of recurrence for 18 months since his operation. Although there have been a number of reports of adenocarcinoma devoloping in the gastric stump following surgery for peptic ulcers, the development of malignant lvmphoma under such conditions is rare. Following the presentation of this case, we review the available literature and discuss the possibility of malignant lymphoma developing in the gastric stump.

引用

页码：815 / 818

页数：4

共 23 条

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