TWO CASES OF LYMPHORETICULAR HYPERPLASIA OF THE STOMACH
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1) Two cases of lymphoreticular hyperplasia of the stomach were reported. They were diagnosed as malignant ulcer of the stomach by preoperative radiologic and gastrofiberscopic examination, and were treated surgically with partial gastrectomy of Billroth 1 type.<BR>2) In both cases, radiological characteristic finding of the stomach showed wide filling-defect with multiple ulcers in part of the stmach body, which finding was resembled to gastric carcinoma.<BR>3) Macroscopic finding of the resected stomach showed that diffuse, granular or giant encephaloid hyphertrophy of mucous membrane, which surrounded gastric ulcer situated on center of it, and combined multiple erosions.<BR>4) Patho-histological findings showed that proliferation of the lymphoid tissues locating in the mucous membrane and submucosa around the chronic gastric, ulcer, and simultaneously infiltration of many kinds of inflammtory cells, and then there were none atypicality in structural cells of lymphoid tissues. Above those findings agreed with lymphoreticular hyperplasia. <BR>5) Preoperative diagnosis of this disease was possible to some extent by radiologic examinasion, but we thought that the most excellent diagnostic procedure was biopsy of the mucous membrane.<BR>6) Patho-histological differerential diagnosis of this disease from malignant lymphoma or giant follicular lymphoma was importance, those leasions were rare in the stomach, but exhibited the most resembling patho-histological findings.<BR>7) Commonly, lymphoreticular hyperplasia of the stomach was thought the benign lesion, but pathogeneses of this disease have not yet to be delineated completely, we think that operative treatment of this leasion is better procedure than the others.
- 北関東医学会の論文
北関東医学会 | 論文
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