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Spontaneous Regression And Recurrence Of Primary Low-grade B-cell Gastric Lymphoma On The Gastric Stump 15 And 20 Years After Gastroresection

Penti et al., 2002Stomach cancer

Penti monthse, F., monthscini, C., Pastine, F., Gerini, A., & Lucchesi, Q. (2002). spontaneous regression and recurrence of primary low-grade B-cell gastric lymphoma on the gastric stump 15 and 20 years after gastroresection. Panminerva medica, 44(3), 271–274.

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Abstract

The recurrence of primary gastric lymphoma (PGL) on the gastric stump after gastroresection is rare. We describe the case of an 84-year-old man who had recurrences 15 and 20 years after a Billroth I gastrectomy. The concordance of the three gastric biopsies showing a low grade B-cell lymphocytic lymphoma of the mucosa-associated tissue, demonstrated the recurrence of the disease. The patient has serological evidence of Helicobacter pylori infection but the eradication therapy had no effect on the evolution of the disease. The case suggests that PGL is really a particular entity in the non-Hodgkin's lymphoma group, characterized by a long spontaneous natural history, with long lasting spontaneous remissions and recurrences.

Case Details

Disease Location

Gastric stump

Personal Characteristics

84 male

Clinical Characteristics

Had a billroth i gastrectomy for primary gastric lymphoma and had two recurrences 15 and 20 years after the operation 3 gastric biopsies showed a low grade b_cell lymphocytic lymphoma of the mucosa-associated tissue serological evidence of h. Pylori infection but the eradication therapy had no effect on the evolution of the disease

Remission Characteristics

Abstract only, none reported

Treatment & Mechanisms

Proposed Remission Mechanisms

Abstract only, none reported

Clinical Treatment

Previous gastrectomy and gastroresection h. Pylori eradication

Non-Clinical Treatment

None reported