The Synchronous Occurrence of Splenic Marginal Zone Lymphoma in a Patient with Early Gastric Cancer: A Case Report.
10.5230/jkgca.2009.9.2.63
- Author:
Hyo Jun PARK
1
;
Keung Mi KIM
;
Min Gew CHOI
;
Jae Hyung NOH
;
Tae Sung SOHN
;
Jae Moon BAE
;
Sung KIM
Author Information
1. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. sungkimm@skku.edu
- Publication Type:Case Report
- Keywords:
Splenic marginal zone lymphoma;
Early gastric cancer;
Splenomegaly;
Double primary cancer
- MeSH:
Abdomen;
Adenocarcinoma;
Gastrectomy;
Gastric Mucosa;
Humans;
Liver Cirrhosis;
Lymph Nodes;
Lymphatic Diseases;
Lymphoma;
Lymphoma, Non-Hodgkin;
Male;
Pyloric Antrum;
Splenomegaly;
Stomach Neoplasms
- From:Journal of the Korean Gastric Cancer Association
2009;9(2):63-67
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Splenic marginal zone lymphoma (SMZL) is a rare type of non-Hodgkin's lymphoma (NHL). We report here on a patient who displayed the synchronous occurrence of SMZL and early gastric cancer (EGC). The patient was a 74 year-old male with liver cirrhosis. An EGC in the gastric antrum was diagnosed and the preoperative abdomen computed tomography scan revealed splenomegaly and intra-abdominal lymphadenopathy. We performed subtotal gastrectomy and the postoperative pathologic examination revealed adenocarcinoma limited to the gastric mucosa and SMZL in the lymph nodes. The patient recovered from the surgery without complications and is now awaiting chemotherapy. SMZL has an indolent clinical course with good long-term survival and so there is the possibility of the occurrence of a second primary malignancy. Rare cases of a second primary malignancy being diagnosed along with SMZL have been described in the literature. Patients with SMZL should be carefully followed after treatment to detect the possible occurance of a second primary malignancy.
