Gastric lymphoma

Case contributed by Dr Dharam Ramnani

Presentation

58 y/o male who presented with abdominal pain and weight loss.

Patient Data

Age: 58
Gender: Male
Modality: Pathology

This partial gastrectomy specimen shows a 6.0 cm ulcerated mass. The base of the ulcer is covered with necrotic and purulent debris. Histopathologic examination showed a diffuse large B-cell lymphoma.

Case Discussion

Abdominal CT showed significant thickening of the wall of the stomach along the lesser curvature. A gastric biopsy showed non-Hodgkin lymphoma, diffuse large B-cell type. Partial gastrectomy was performed.

Primary gastric lymphomas make up about 10% of all gastric malignancies. Most of these tumors are non-Hodgkin lymphomas, usually of B-cell type. A significant proportion of high-grade (large cell) lymphomas of the stomach evolve from MALT lymphomas. Some cases are seen in a background of immunocompromised state or inflammatory bowel disease.

PlayAdd to Share

Case Information

rID: 29868
Case created: 28th Jun 2014
Last edited: 26th Sep 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.