CASTROINTESTINAL LESIONS OF MALIGNANT LYMPHOMAS

Abstract

44 patients of malignant lymphomas who were hospitalized for last ten years were stud-ied about their gastrointestinal lesions. We divided these cases into two groups, Hodgkin's disease (9 cases) and non Hodgkin's lymphoma (35 cases). Gastrointestinal infiltrating lesions of malignant lymphomas were found in one case of the former and ten cases of the latter. We found 6 infiltrating lesions in the stomach and small intestine, respectively and 3 lesions in the colon. We had observed an interesting gastric involvement endoscopically for three years. This case was forty-nine years old man and diagnosed lymphosarcoma, stage 4b. Gastric lesion was IIc like appearance with converging folds at the greater curvature of the gastric body. This lesion was considered the early state as the gastric involvement. Thereafter submucosal tumors and ulcerative lesions apperased at the posterior wall of the gastric body for three 'years. Finally this case was operated and the infitration of lymphosarcoma was proved. Furthermore we studied other benign gastrointestinal lesions of malignant lymphomas. Ten cases of ulceration and eight cases of massive GI bleeding due to the erosion were observed. One of ulcerations was perforated. The prognosis of patient have great relation with gastrointestinal lesions, which are not only infitrating, but also other benign lesions. Therefore we should diagnose them promptly and treat properly.