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題 名 | Simultaneous Occurrence of Gastric Adenocarcinoma and Low-Grade Gastric Lymphoma of Mucosa-Associated Lymphoid Tissue=胃黏膜相關性淋巴瘤合併胃腺癌之發生 |
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作 者 | 湯崇志; 施麗雲; 陳邦基; 陳澤卿; | 書刊名 | 長庚醫學 |
卷 期 | 25:2 2002.02[民91.02] |
頁 次 | 頁115-121 |
分類號 | 415.527 |
關鍵詞 | 胃黏膜相關性淋巴瘤; 胃腺癌; 幽門螺旋桿菌; Gastric mucosa-associated lymphoid tissue lymphoma; MALT; Gastric adenocarcinoma; Helicobacter pylori; |
語 文 | 英文(English) |
中文摘要 | 胃腺癌同時合併胃黏膜相關性淋巴瘤發生是非常罕見的。我們報告一位72歲男性病人,因體重減輕,經胃內視鏡切片檢查發現胃黏膜相關性淋巴瘤,之後病人接受化學治療,結束化學治療3個月後,病人接受內視鏡切片檢查發現同時有胃腺癌及殘存之胃淋巴瘤,病人之後接受近端胃切除術。這位病人在整個治療過程中,曾在一次胃切片檢查發現幽門螺旋桿菌。因此,我們針對胃腺癌及胃黏膜相關性淋巴瘤的發生及相關性,以及幽門桿菌感染對於這兩種腫瘤的關聯作進一步探討。 |
英文摘要 | Gastric adenocarcinoma developing concomitantly with a gastric lymphoma of the mucosa-associated lymphoid tissue (MALT) type is rare. Herein, we report a case with a synchronous primary gastric MALT lymphoma and an early adenocarcinoma of the stomach. A 72-year-old patient with initial presentation of weight loss was found with endoscopy to have a large tumor mass in the gastric body. Pathologic examination of biopsies revealed a low-grade MALT lymphoma for which chemotherapy with cyclophosphamide, vincristine, and prednisolone was administered. A gastric adenocarcinoma was found at a different site in the stomach 3 months after cessation of chemotherapy when there was still residual MALT lymphoma in the stomach. The presence of double neoplasms was established preoperatively. The patient underwent a proximal gastrectomy. Infection with Helicobacter pylori (H. pylori) was detected once in the repeated endoscopic gastric biopsies. The occurrence of both gastric MALT lymphoma and gastric adenocarcinoma was reviewed and the association of H. pylori infection with both malignancies is discussed. |
本系統中英文摘要資訊取自各篇刊載內容。