胃癌手術時のリンパ節に節性悪性リンパ腫を認めた1例

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  • A CASE OF NODAL MALIGNANT LYMPHOMA AT A GASTRECTOMY FOR GASTRIC CARCINOMA

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We report a case of nodal malignant lymphoma detected at a gastrectomy for gastric cancer which was thought very rare.<br> A 64-year-old man was admitted to the hospital because of a depressed lesion in the body of the stomach that was a recurrent disease after endoscopic mucosal resection. A biopsy of the tumor revealed well differentiated adenocarcinoma. An Abdominal CT scan revealed lymph nodes swelling around the abdominal aorta. The patient was suspected to have early gastric cancer and malignant lymphoma, and underwent a laparoscopic distal gastrectomy and disection of the lymph nodes. Pathological diagnosis was early gastric cancer and malignant lymphoma. The patient's postoperative course was uneventful. He underwent chemotherapy (CHOP) for malignant lymphoma after surgery, and is still alive without signs of recurrence as of 30 months after the operation.

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