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Endoscopy 1985; 17(1): 5-7
DOI: 10.1055/s-2007-1018443
ORIGINAL CONTRIBUTIONS

© Georg Thieme Verlag KG Stuttgart · New York

Primary Gastric Lymphoma Versus Gastric Cancer

An Endoscopic and Radiographic Study of Differential Diagnostic PossibilitiesF.Th. Fork, U. Haglund, H. Högström, L. Wehlin
  • Department of Surgery, and Endoscopic Section, Department of Diagnostic Radiology, Malmö General Hospital, Malmö, Sweden
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Publication History

Publication Date:
17 March 2008 (online)

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See also:

Endoscopic Diagnosis of Primary Non-Hodgkin's Lymphoma of the JejunumEndoscopy 1994; 26(05): 513-514
DOI: 10.1055/s-2007-1009023

Summary

Eighteen patients with primary gastric malignant lymphoma were compared retrospectively with an age- and sex-matched group of patients with gastric cancer. It was found that a correct preoperative diagnosis was established in 8 out of 18 lymphoma patients (44 %). Of the remaining patients eight were preoperatively diagnosed as cancers and two as benign ulcers. Malignancy was not suggested by biopsy or cytology in a total of six lymphoma patients. There was no difference as regards the size of the gastric lesion between the groups. A diffuse involvement of the stomach was found only in lymphoma patients. Furthermore, lymphoma patients often showed superficial stellate ulcers and a sharp margin between the lesion and the normal mucosa. It is suggested that these findings should make the investigator aware of the possibility of a gastric lymphoma. When this diagnosis is considered, great importance should be attached to obtaining large biopsies which possibly allow a correct preoperative diagnosis more often.

Key words:

Primary gastric malignant lymphoma - Gastric cancer - Gastroscopy - Diagnosis

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