Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Gastrointestin Liver Dis. 2009 Mar;18(1):99-101.

Primary gastric lymphoma with florid granulomatous reaction.

Author information

  • 1Department of Pathology and Laboratory Medicine; McMaster University, Hamilton, Ontario, Canada.

Abstract

Epithelioid cell granulomas are more commonly seen in Hodgkin's disease and T cell lymphomas. Rarely florid granulomatous reaction with necrosis may be a prominent feature in lymphoma. To the best of our knowledge, a total of 11 cases of Burkitt's lymphoma with florid necrotizing granulomas have been reported in the English literature. None of these cases have previously had the stomach involved. Here we report a gastric Burkitt's lymphoma with florid granulomatous reaction diagnosed following a partial gastrectomy. The initial gastric biopsy showed granulomatous gastritis but the radiological and endoscopic appearance was that of a gastric stromal tumour. We conclude that in the presence of a mass lesion, the finding of epithelioid granulomas should warrant re-biopsy to establish an accurate diagnosis and exclude a concurrent malignant process. Hence, major surgery and postoperative complications can be avoided and appropriate treatment regimen can be initiated.

PMID:
19337644
[PubMed - indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Iuliu Hatieganu Medical Publishing House
    Loading ...
    Write to the Help Desk