A Case of Mantle Cell Lymphoma Exhibiting Features of Gastric Linitis Plastica Type of Advanced Gastric Cancer |
Beom Hee Kim, Hyun Yong Jeong, Jae Kyu Seong, Seok Hyun Kim, Hye Jin Kim, Beom Yong Yoon, Hee Seok Moon |
Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea. mhs1357@cnuh.co.kr |
4형 진행성 위암과 유사한 내시경 소견을 보인 위에서 발병한 외투세포림프종 1예 |
김범희, 정현용, 성재규, 김석현, 김혜진, 윤범용, 문희석 |
충남대학교 의학전문대학원 내과학교실 |
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Abstract |
Mantle cell lymphoma has a broad spectrum of endoscopic presentations, such as thick, rigid folds that are indispensible on air insufflation, superficial confluent ulceration, or a polypoidal mass protruding into the lumen. The exact diagnosis is difficult to make because the lesion is in the submucosal layer and inaccessible by biopsy. Lesions will often exfoliate necrotic cells which make interpretation difficult, or they may be too small in number and size and thus indistinguishable from anaplastic carcinoma. We report a case of mantle cell lymphoma with diffuse wall thickening of the whole stomach in a 51-year-old man. The series of endoscopic findings in this case support the role of differential diagnosis of linitis plasica type of advanced gastric cancer with mantle cell lymphoma. |
Key Words:
Mantle-cell lymphoma; Linitis plastica; Stomach neoplasms |
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