A Case Report of Early Gastric Cancer with Gastric Malt Lymphoma

Abstract

A 35-year-old female was referred to our hospital. Gastrointestinal endoscopy showed 50mm 0-Ⅱc lesion in the posterior wall of the upper gastric body and 25mm 0-Ⅱc lesion in the lesser curvature of the angle. On biopsy pathology, mucosa-associated lymphoid tissue (MALT) lymphoma was diagnosed in 50mm lesion and signet ring cell carcinoma was diagnosed in 25mm lesion. Chest and abdominal CT scans showed no lymph node swelling. Urea breath test showed positive, we diagnosed she was infected by Helicobacter pylori. Preoperatively, the MALT lymphoma diagnosed Lugano staging I, and the gastric cancer diagnosed L, Post, Less, Gre, 0-Ⅱc (25mm), T1aN0M0 Stage IA. The patient underwent a total gastrectomy. Finally, the MALT lymphoma diagnosed Lugano staging I, and the gastric cancer diagnosed L, Post, Less, Gre, 0-Ⅱc (17×13mm), T1aN0M0 Stage IA. We report a very rare case of simultaneous primary gastric MALT lymphoma and of early gastric cancer. It is important to determine method of treatment, considering effectiveness and quality of life after treatment.