Pulmonary metastatic spread of an extra-nodal high malignant B-cell non-Hodgkin's lymphoma of the bulbus duodeni and the pylorus of the stomach

Dorenbeck, U and Hollerbach, S and Geissler, A and Andus, T (2000) Pulmonary metastatic spread of an extra-nodal high malignant B-cell non-Hodgkin's lymphoma of the bulbus duodeni and the pylorus of the stomach. ZEITSCHRIFT FUR GASTROENTEROLOGIE, 38 (2). pp. 173-176. ISSN 0044-2771,

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Abstract

We report a 71-year-old female patient with repeated vomitus, meteorism, epigastric pain and reflux for more than four month. She had a palpable mass in the upper abdomen and lost 7 kg of weight during the last four months. Chest X-ray showed two masses, 2 cm and 3 cm in diameter, in the left and right lower lung. A stenosing polypoid mucosal swelling in the antrum and the duodenal bulb. The pulmonal masses were biopsied unter CT-guidance. Biopsy proved a high malignant B-cell non-Hodgkin's lymphoma of the stomach. The masses in the lung were identified as metastases of the gastrointestinal lymphoma In conclusion on this tumor was an extranodal non-Hodgkin's lymphoma stadium BE IV according to Musshoff. A CHOP-chemotherapy was initiated. Restaging after three cycles of CHOP rivealed a complete remission. Primary gastrointestinal non-Hodgkin's lymphomas are relativly rare neoplasms of the abdomen. Unusual and interesting in this case ist the metastatic pattern involving the lung periphery without local lymphnode metastases.

Item Type: Article
Uncontrolled Keywords: PRIMARY GASTROINTESTINAL LYMPHOMA; TRACT; non-Hodgkin's lymphoma; gastrointesinal lymphoma; computertomography; CT-guided biopsy
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 20 May 2021 09:42
Last Modified: 20 May 2021 09:42
URI: https://pred.uni-regensburg.de/id/eprint/42881

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