Lymphocytic Phlebitis of the Stomach: A Case Report with Literature Review.
- Author:
Meeran KIM
1
;
Hyun Jung LEE
;
Min Kyung YEO
;
Young Suk LEE
;
Hee Seok MOON
;
Sang Il LEE
;
June Sik CHO
;
Kyu Sang SONG
Author Information
1. Department of Pathology, Chungnam National University School of Medicine, Daejeon, Korea. qsong@cnu.ac.kr
- Publication Type:Case Report
- Keywords:
Lymphocytic phlebitis;
Gastric vasculitis;
Localized vasculitis
- MeSH:
Abdomen, Acute;
Aged;
Arteries;
Biopsy;
Colon;
Dizziness;
Female;
Gastrectomy;
Gastrointestinal Tract;
Humans;
Intestine, Small;
Lymphocytes;
Phlebitis;
Serous Membrane;
Stomach;
Stomach Neoplasms;
Veins
- From:Korean Journal of Pathology
2011;45(6):654-658
- CountryRepublic of Korea
- Language:English
-
Abstract:
Lymphocytic phlebitis of gastrointestinal (GI) tract is a rare diseaes. Approximately 50 cases of lymphocytic phlebitis of the GI tract have been reported. Most of these involved the colon or small intestine and presented as acute abdomen. We report the second case of lymphocytic phlebitis of the stomach. A 73-year-old female complaining of dizziness had endoscopic and computed tomography findings strongly suggested gastric cancer, while gastric biopsy was negative for carcinoma. The partial gastrectomy specimen showed lymphocytic phlebitis involving veins in the submucosa, muscularis propria, and serosa while the adjacent arteries were spared. The veins were mainly surrounded by lymphocytes. When a patient has a lesion in the GI tract that is suggesting cancer without biopsies revealing any carcinoma, the pathologist should recommend a deeper biopsy for a proper examination of the submucosa.
