Superficial Spreading-Type Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma in the Stomach. A Case Report.:A Case Report
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概要
- 論文の詳細を見る
We presented a case of a 71-year-old woman who presented irregular mucosal folds with tiny depressions and multiple erosions with ulceration in the stomach, on endoscopy and roentgenography. Histological findings from biopsy specimens showed dense and mildly atypical lymphoidlike cells invading the submucosa. Immunohistochemical examinations revealed monoclonal reactivity of Heavy-chain. She was then diagnosed to have low grade malignant lymphoma in the stomach and underwent total gastrectomy. The resected cancer demonstrated the pathological features including small lymphocytic plasmacytoid cells and lymphoepithelial lesions characteristic of a mucosa-associated lymphoid tissue (MALT) lymphoma. The lymphoma cells expressed B cell markers with a phenotype of IgG and λ type. It is difficult to make a firm diagnosis of a MALT lymphoma from only small biopsy specimens. Accordingly it is necessary to complete the observed clinical process, endoscopic and roentgenographic findings with immunohistochemical characteristics to determine diagnosis. The MALT lymphoma should be treated as a low-grade malignancy and diagnosis sufficiently early can lead to a favorable prognosis.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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Funatsu Hiroyuki
Department Of Chemistry And Biochemistry Numazu College Of Technology
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Tanaka Yoshihisa
Department Of Electronics Faculty Of Industrial Arts Kyoto Technical University
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TAKEDA JINRYO
Department of Surgery, Kurume University School of Medicine
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MARUIWA MASAFUMI
Department of Surgery, Kurume University School of Medicine
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OHTA JUNJI
Department of Gastroenterology and Surgery, Kurume University School of Medicine
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OHTA JUNJI
Department of Surgery, Yame General Hospital
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NOUTOMI MASANORI
Department of Surgery, Yame General Hospital
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SHIROUZU KAZUO
Surgery, Kurume University School of Medicine
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TANAKA YOSHIHISA
Department of Surgery, Yame General Hospital
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TAKEDA JINRYO
Department of Gastroenterology and Surgery, Kurume University School of Medicine
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TAKEDA JINRYO
Department o f Surgery, Kurume University School of Medicine
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MARUIWA MASAFUMI
Department of Surgery, Yame General Hospital
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MARUIWA MASAFUMI
Department of Pathology, Kurume University School of Medicine
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