A case of primary gastric t-cell lymphoma

Abstract

A 54-year-old man was admitted to our hospital for epigastric discomfort. Upper gastrointestinal endoscopy revealed giant folds and ulcers in the upper and middle third of the stomach. Histologic analysis revealed T-cell type malignant lymphoma. Computed tomography and gallium scintigraphy showed no lymph node swelling or metastasis to other organs, except to the lymph nodes around the stomach. We performed total gastrectomy and splenectomy with D2 lymph node dissection, and the patient was completely cured. The patient was diagnosed with primary gastric T-cell lymphoma. T-cell type malignant lymphoma of the stomach is very rare and no treatment strategy has been established thus far. Further accumulation of cases might help in establishing a treatment for this condition.