Adenocarcinoma gástrico treinta y dos años post linfoma gástrico / Gastric adenocarcinoma appearing 32 years after the resection of a gastric lymphoma: report of one case
Rev. méd. Chile
;
136(10): 1317-1320, Oct. 2008. ilus
Article
in Spanish
| LILACS
| ID: lil-503901
ABSTRACT
The association of gastric lymphoma and gastric adenocarcinoma in the same patient is uncommon. We report a 76 year-old male with a previous history of massive upper gastrointestinal bleeding who required a subtotal gastrectomy with Billroth II reconstruction in 1974. Pathology demonstrated a gastric ¡ympho-histiocytic non-Hodgkin's lymphoma. The patient received complementary radiotherapy and was followed with annual endoscopies for 23 years. In 2006, he presented with fatigue. An upper gastrointestinal endoscopy showed an ulcerated and proliferative lesión at the gastric stump. Biopsy demonstrated a gastric adenocarcinoma. Gastric stump resection with lymph node dissection was perfomed. Pathology of the excised specimen showed a moderately differentiated tubular adenocarcinoma of the gastrojejunal anastomoses which infiltrated up to the subserosa. Additionally lymphatic permeations were observed and 10 of the 16 excised lymph nodes were invaded by the tumor.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Stomach Neoplasms
/
Lymphoma, Non-Hodgkin
/
Adenocarcinoma
/
Neoplasms, Second Primary
Limits:
Aged
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2008
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Pontificia Universidad Católica de Chile/CL
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