The patient was submitted for CT that revealed large degenerated soft tissue mass is seen intimately related to the pylorus. The possibility of GIST Vs others was considered. Gastroscopy is then performed for the patient that showed severe mural wall thickening and narrowing of the pylorus. The patient underwent surgery that shows a large mass than estimated by radiologic and laparoscopic procedures. Gastric lymphoma: large B-cell non-hodgkin type, rich in histiocytesis proved after histopathology with an immunohistochemical confirmation.
The case is courtesy of Dr. Hani Fahmy, G.Surgery Consultant,
Thanks to Dr. Mamdouh Radwan for Path. Photo.
Thanks to Dr. Hani Afifi, Gastroenterologist for Laparoscopic photo.