胃癌切除後に発症したLennertリンパ腫の1例 A CASE OF LENNERT'S LYMPHOMA ASSOCIATED WITH GASTRIC CANCER
胃癌切除後経過観察中に発症したLennertリンパ腫の1例を経験したので,若干の文献的考察を加えて報告する.症例は67歳,男性,主訴は左腋窩腫瘤である.腫瘤は比較的硬く,表面平滑,無痛性で可動性に乏しい.<br> 胃癌のリンパ節転移,悪性リンパ腫を疑い,生検施行するも診断がつかず,腫瘤摘出術を施行し,病理組織学的にLennertリンパ腫と診断された.<br> 術後化学療法施行し現在も健在である.<br> 胃癌とLennertリンパ腫との因果関係は明らかではないが,同様症例の報告は文献上検索した限りではみられず,極めて稀な症例と考えられた.
A case of Lennert's lymphoma in a postgastrectomy patient under strict observation for gastric cancer is descrived with a review of the literature.<br> A 67-year-old man was admitted to the hospital because of a walnut-sized mass in the left axilla. The mass was relatively hard, painless, and poor in movability. It has a smooth surface.<br> We suspeced lymph node metastasis of the gastric cancer or malignant lymphoma. Biopsy cytology was performed, but no definite diagnosis was made.<br> A resection of the left axillar tumor was performed. Histological diagnosis was made as of Lennert's lymphoma.<br> Anticancer chemetherapy was added following the surgical treatment, and he has been disease-free. The relationship between gastric cancer and Lennert's lymphoma is still obscure. No additional case report has been seen in the literature as far as we could review. This case is extremely rare.
- 日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society
日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society 56(3), 549-551, 1995-03-25
Japan Surgical Association