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A Case of Spontaneous Regression of Primary Malignant Lymphoma of the Stomach
Author(s) -
HAYAKAWA Kazuo,
FUKUCHI Sohtaro,
YOSHIDA Yukiya,
HASHIMOTO Mitsuyo,
HOSHIHARA Yoshio,
MIYAKOSHI Shigesaburo,
NANAUMI Kyoo,
UNAKAMI Masamitsu
Publication year - 1992
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.1443-1661.1992.tb00090.x
Subject(s) - medicine , curvatures of the stomach , stomach , lymphoma , biopsy , lesion , malignant lymphoma , radiology , endoscopy , gastroenterology , surgery
A 62‐year‐old female who complained of discomfort in her upper abdominal region and a poor appetite had an endoscopically documented polypoid lesion with a shallow irregular central depression at the lesser curvature of the angulus. A diagnosis of malignant lymphoma was made following a gastric biopsy. A gastric endoscopy performed about 20 days later revealed a marked increase in size with an ulcerated surface the margin of which had an auricle‐like shape. These findings were compatible with a diagnosis of malignant lymphoma of the stomach. No medical therapy, such as antineoplastic agents, was given during the follow‐up period. A gastric resection was performed 1.5 months after the initial endoscopy. A detailed histopathological examination of the resected gastric specimen revealed a U1‐II type ulcer scar but no malignant lymphoma cells. Very few cases of a complete spontaneous regression of a malignant lymphoma of the stomach have been reported either within or outside of Japan though it is well known that lymphomas show rapid morphological changes in some patients who are followed‐up without any specific therapy. These rare case reports in the literature are reviewed and discussed together with our present case.