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Saturday, 16 February 2019

CASE 537: GASTRIC LYMPHOMA, DR PHAN THANH HAI, DR LE THI THANH THAO, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


Man 63 yo with gastric ulcer being treated for a  long time but not getting better. 
Gastroendoscopy  found a crater ulcer of antrium  but  in 2 times of biopsy only chronic inflamation.


Ultrasound scanning in epigastris  detected antrium thickening of the wall  and hypoechoic (US 1).   

US 2 : many lymph nodes around antrium.  



US 3: CDI, vascular supply for antrum.



US 4: longitudinal scanning of antrum  is  thickening of  the gastric wall.



MSCT scanning of abdomen.
CT 1= crossed section of   antrum with the mass.


CT 2 = scanning with position rotation of antrum showed stenosis.


Radiologist and sonologist diagnostics were gastric cancer.
Operation of gastrectomy.
Specimen 1= antrum tumors.  

Specimen 2 =
Opening of gastric lumen there wered 2 lesions at antrum and body of stomach.



Microscopic report with immuno-histo chemistry  staining is B cell lymphoma  of antrum and infiltrated lymph nodes.


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