RESUMO
Gastric stump lymphoma is uncommon. We report a case of MALT lymphoma of the gastric stump occurring in a 65 year-old male. This patient had undergone subtotal gastrectomy for a gastric peptic ulcer at age 51. Histologic findings in the initial gastric specimen showed follicular gastritis with Helicobacter Pylori. This previous gastric surgery cured the ulceration but did not remove the Helicobacter Pylori infection that led to the development of gastric lymphoma.
Assuntos
Coto Gástrico/patologia , Infecções por Helicobacter/complicações , Linfoma de Zona Marginal Tipo Células B/patologia , Idoso , Gastrectomia , Helicobacter pylori/patogenicidade , Humanos , Linfoma de Zona Marginal Tipo Células B/etiologia , Linfoma de Zona Marginal Tipo Células B/microbiologia , Masculino , Úlcera Gástrica/cirurgiaRESUMO
We report the cases of 5 patients with gastric cancer with lymphoid stroma, aged from 40 to 66 years. The tumor was located in the upper and the middle third of stomach in four patients. Using in situ hybridization, the tumor was Epstein-Barr virus-positive in all patients whereas immunohistochemical analysis was negative. Four patients had total gastrectomy associated in two cases with splenectomy and caudal pancreatic resection. The last patient had subtotal gastrectomy. One patient was lost to follow-up. After a mean follow-up of 31 months, 4 patients are alive and free of local recurrence.