Gastric T-cell lymphoma

Case contributed by Dr Oscar Osorio

Presentation

Abdominal pain and nausea.

Patient Data

Age: 30 years
Gender: Male
Ultrasound

Large mass-like thickening of the gastric walls, showing hyperemia, air and fluid in the lumen, and abutting the aorta.

AO = Aorta; CV = vertebral body; M = gastric mass.

CT

Extensive mass-like thickening of the stomach, compromising both the lesser and greater gastric walls, abutting the pancreas and the aorta, with mesenteric fat stranding and small lymph nodes surrounding the lesion. Findings were highly suspicious for lymphoproliferative disease.

Case Discussion

The patient underwent an endoscopic biopsy and the pathologists reported T-cell lymphoma (as communicated by the patient's physician).

When a patient has an enlarged lumen of the stomach or bowel and associated diffuse wall thickening, a lymphoma should always be on the top of our differential diagnosis.

Although primary gastric lymphoma is rare and is usually seen after the fifth decade of life, it can also occur in the second decade and is more common in males1.

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