Gan to kagaku ryoho. Cancer & chemotherapy · 2012
[A case of primary splenic malignant lymphoma associated with gastric cancer].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Ebisui Chikara, Okada Kazuyuki, Kato Ryo, Makino Shunichiro, Nishigaki Takahiko, Owada Yoshiyuki, Murakami Masahiro, Yanagisawa Tetsu, Okamura Shu, Murata Kohei, Yokouchi Hideoki, Tamai Masamitsu, Kinuta Masakatsu
Аннотация
The patient was an 85-year-old woman with a chief complaint of anemia and epigastralgia. She was diagnosed with type 4 gastric cancer(por) located in the upper-third of the stomach by gastrointestinal endoscopy in April 2011. Computed tomography scan revealed no distant metastases, but a tumor measuring about 4 cm in diameter was detected in the spleen. We performed total gastrectomy with D2 lymph node dissection and splenectomy in June 2011. The postoperative pathological finding of the gastric cancer was pT4aN3aM1P0CY1H0, p-Stage IV(Japanese Classification of Gastric Carcinoma, 14th Edition). Histological examination of the splenic tumor revealed a follicular-type malignant lymphoma. At present, our patient is being treated with S-1 monotherapy in the outpatient clinic and shows no signs of recurrence. However, it is important that the patient is followed-up carefully because peritoneal lavage cytology was positive and the relapse rate of follicular lymphoma is comparatively high.