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Multiple organ resection for extensive lymphoma in the abdominal cavity


Authors: L. Hlaváčová;  R. Vrba;  M. Gregořík;  Č. Neoral
Authors‘ workplace: I. chirurgická klinika LF Univerzity Palackého a FN Olomouc přednosta: prof. MUDr. Č. Neoral, CSc.
Published in: Rozhl. Chir., 2017, roč. 96, č. 1, s. 37-40.
Category: Case Report

Overview

Extranodal lymphomas are quite rare, and they usually present as non-Hodgkin lymphomas. The most common localization is the gastrointestinal tract, mainly the stomach – primary gastric lymphoma; histologically, diffuse large B-cell lymphoma (DLBCL) is the most frequent type. The diagnosis is established based on endoscopic examination with biopsy of the tumor. It is an aggressive tumor, highly chemosensitive, which is why primary systemic chemotherapy is indicated in early, as well as late, stages of the disease. Surgery is indicated to treat complications such as perforation, bleeding or gastrointestinal obstruction. The authors present the case of a chemoresistant patient with hemodynamically significant bleeding, indicated for surgical revision after unsuccessful endoscopic treatment. Multiple organ resection was performed due to the large size of the tumor in the abdominal cavity.

Key words:
gastric lymphoma – surgical treatment


Sources

1. Shum JB, Shiva Jayaraman S, Croome K, et al. Upper gastrointestinal and intra-abdominal hemorrhage secondary to diffuse large B-cell gastric lymphoma. Can J Surg 2008;51:56−7.

2. Wang YG, Zhao LY, Liu CQ, et al. Clinical characteristics and prognostic factors of primary gastric lymphoma: A retrospective study with 165 cases. Medicine (Baltimore) 2016;95: e4250.

3. Papajík T, Kubová Z, Flodr P, et al. Difúzní B-velkobuněčný lymfom 2010 [online]. Dostupný na: http://zdravi.euro.cz/clanek/postgradualni-medicina/difuzni-b-velkobunecny-lymfom-452357.

4. Krška Z, Hoskovec D, Petruželka L a kol. Chirurgická onkologie. 1. vyd. Praha, Grada, 2014, 904 s.

5. Spectre G, Libster D, Grisariu S, et al. Bleeding, obstruction, and perforation in a series of patients with aggressive gastric lymphoma treated with primary chemotherapy. Ann Surg Oncol 2006;13:1372−8.

6. Vrba R, Neoral Č, Aujeský R, et al. Lymfom žaludku − kazuistická sdělení. Rozhledy v chirurgii 2003;82:368−70.

7. Velicković D, Sabljak P, Ebrahimi K, et al. Upper gastrointestinal bleeding as a surgical complication of primary gastric lymphoma. Acta Chir Iugosl 2007;54:131−4.

8. Avilés A, Nambo MJ, Neri N, et al. The role of surgery in primary gastric lymphoma: results of a controlled clinical trial. Ann Surg 2004;240:44−50.

Labels
Surgery Orthopaedics Trauma surgery
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