Abstract
A 77-year-old female with a chief complaint of anorexia was admitted to our hospital with a diagnosis of type 4 gastric cancer. Gastroenterologic evaluations revealed giant folds with ulcers in the upper and middle third of the stomach, and histologic study revealed diffuse medium-sized cell type malignant lymphoma, Tcell type. Chemotherapy with CHOP was administered two times prior to surgery with a diagnosis of Stage III (Naqvi). The patient underwent total gastrectomy, and pancreatosplenectomy with D2 lymph node dissection, which resulted in curability C. She died of lymph node metastasis 10 months later. T-cell type malignant lymphoma of the stomach is rare and complete remission is difficult to achieve. Establishment of an effective chemotherapy protocol is urgently needed for Tcell type malignant lymphoma of the stomach.
