1989 Volume 31 Issue 2 Pages 327-333_1
We studied radiographic and endoscopic findings in 14 cases of superficial malignant lymphoma (SML) and in 12 cases of reactive lymphoreticular hyperplasia (RLH). In SML, granular mucosal pattern, erosion, and milky white color sign were found in 100% (14/14), 93% (13/14), and 79% (11/14), respectively. In RLH, granular mucosal pattern, erosion, and milky white color sign were found in 100% (12/12), 83% (10/12), and 67% (8/12), respectively. There was no significant difference between the findings of SML and RLH. Analysing granular pattern on X-ray film, irregular granules were found in 86% patients of SML and 14% patients of RLH. Furthermore, the granules in sizes more than 8mm were more frequently found in SML (11/14) than in RLH (0/12). Pathologically, the granular lesion of SML consisted of severe degree of infiltration of lymphoma cells, while the lesion of RLH consisted of moderate degree of lymphocyte infiltration. We suggest that irregular mucosal pattern with large granules is important for early diagnosis of gastric SML on radiography and endoscopy.
