A 34 year-old female had a tumor diagnosed as early gastric cancer, type IIc. At our outpatient clinic, the tumor was diagnosed as early gastric cancer, type IIc with multiple, irregular faded areas in anterial wall of gastric body. We recognized the tumor to be malignant lymphoma by endoscopy, but histologically it did not show any malignancy. Following another endoscopy check and subsequent histological diagnosis, which showed possible malignant lymphoma so she received total gastorectomy.
By histological diagnosis, the tumor was not a MALT-lymphoma, the depth of the tumor was submucosal invasion, and there was no lymphnode metastasis. Helicobacter pylori was not detected before her operation. We reported a case of premalignant lymphoma, which was similar to early gastric cancer, type IIc.