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Early Gastric Lymphoma Coexisting with Reactive Lymphoreticular Hyperplasia (RLH) ‐A Case Report‐
Author(s) -
TAKECHI Keishi,
FURUHASHI Kazutoshi,
USUI Toshio,
MAEKAWA Hiroyuki,
KIZAWA Akira,
TANABE Hiroshi,
IKEDA Youko,
SHIMOKAWA Kuniyasu
Publication year - 1990
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1990.tb00068.x
Subject(s) - medicine , endoscopy , lymphoma , cancer , gastric lymphoma , lymphoid hyperplasia , hyperplasia , pathology , gastric mucosa , stomach , gastroenterology , radiology
A 34‐year‐old female visited our hospital because of epigastralgia. We performed an upper gastrointestinal x‐ray examination, and both conventional endoscopy and dye‐spraying endoscopy (indigo‐carmine contrast method). We diagnosed early gastric lymphoma which simulated Borrmann 3 type gastric cancer with IIb type early gastric cancer on the middle body and reactive lymphoreticular hyperplasia (RLH) of cobble stone‐like granular pattern by endoscopic appearance on the lower body. Although dye‐spraying endoscopy showed the details of the mucosa, it was very difficult to diagnose the lesions correctly by gross appearance alone. Because gastric lymphoma arises from the mucosal or submucosal layer and spreads in the mucosa diffusely, ultrasonic visualization by echo‐endoscopy might be useful in the diagnostic procedure. We report a case of early gastric lymphoma coexisting with RLH; both lesions showed uncommon endoscopic features.