Spontaneous regression and recurrence of primary low-grade B-cell gastric lymphoma on the gastric stump 15 and 20 years after gastroresection

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 lym...

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Bibliographic Details
Published inPanminerva medica Vol. 44; no. 3; p. 271
Main Authors Pentimone, F, Moncini, C, Pastine, F, Gerini, A, Lucchesi, Q
Format Journal Article
LanguageEnglish
Published Italy 01.09.2002
Subjects
Aged
Aged, 80 and over
Gastrectomy
Humans
Lymphoma, B-Cell - pathology
Lymphoma, B-Cell - surgery
Male
Neoplasm Recurrence, Local - pathology
Remission, Spontaneous
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
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Summary: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.
ISSN:0031-0808