Malignant lymphoma arising in the duodenum combined with gastric lymphoma and early gastric cancer: a case report.

N Uyama, N Kan, K Inoue, A Torii, T Kajiyama, S Ueda, M Sakai, M Tajima, M Imamura
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Abstract

We report here a 65-year old man with primary duodenal malignant lymphoma combined with gastric lymphoma and early gastric cancer. Malignant lymphoma in the bulbus of the duodenum was suspected of by endoscopic biopsy during follow up of duodenal ulcer. Preoperative examination revealed an extension of malignant lymphoma from the bulbus to the stomach in combination with early gastric cancer. We performed a pancreaticoduodenectomy because the tumor invaded to the second portion of the duodenum. The postoperative course was uneventful and he received adjuvant chemotherapy following surgery. To our knowledge, this case is the first report of primary duodenal malignant lymphoma combined with gastric lymphoma and early gastric cancer.

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十二指肠恶性淋巴瘤合并胃淋巴瘤及早期胃癌1例。
我们在此报告一位65岁男性原发性十二指肠恶性淋巴瘤合并胃淋巴瘤及早期胃癌。在十二指肠溃疡的随访中,内镜活检怀疑十二指肠球部恶性淋巴瘤。术前检查发现恶性淋巴瘤从球部延伸到胃并合并早期胃癌。由于肿瘤侵犯到十二指肠的第二部分,我们进行了胰十二指肠切除术。术后过程顺利,他在手术后接受了辅助化疗。据我们所知,这是首例原发性十二指肠恶性淋巴瘤合并胃淋巴瘤和早期胃癌的报道。
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