SPONTANEOUS PERFORATION OF PRIMARY GASTRIC MALT LYMPHOMA: A CASE REPORT
Journal of Disease and Global Health, Volume 14, Issue 3,
Page 38-42
Abstract
Primary gastric lymphoma with spontaneous perforation is exceptional. We report here the case of a 35- year-old-woman who was admitted to our surgery department with severe epigastralgia. Chest Radiography in standing position showed pneumoperitoneum. Intraoperative exploration revealed a perforated gastric tumor in the greater curvature. A total gastrectomy with lymph node dissection was done. Pathological examination confirmed the diagnosis of extra nodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma). The patient was referred for postoperative adjuvant chemotherapy. He is currently with no signs of recurrence, 7 months after his operation.
Keywords:
- Spontaneous perforation
- gastric lymphoma
- ulcer
How to Cite
HAJRI, M., FERJAOUI, W., TALBI, G., BACHA, D., GHARBI, L., & KHALFALLAH, M. T. (2021). SPONTANEOUS PERFORATION OF PRIMARY GASTRIC MALT LYMPHOMA: A CASE REPORT. Journal of Disease and Global Health, 14(3), 38–42. Retrieved from https://ikppress.org/index.php/JODAGH/article/view/7544
References
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Nagtegaal ID, Odze RD, Klimstra D, et al. The 2019 WHO classification of tumours of the digestive system. Histopathology. 2020;76: 182–188.
Ruskoné-Fourmestraux A, Lavergne-Slove A, Delmer A. Les lymphomes gastro-intestinaux. /data/revues/03998320/00260003/233/, Available:https://www.em-consulte.com/en/article/99049 (2008, accessed 12 April 2020).
Swerdlow SH. WHO classification of tumours of haematopoietic and lymphoid tissues. WHO Classification of Tumours. 2008;22008:439.
Lepage C, Bouvier A-M, Manfredi S, et al. Incidence and management of primary malignant small bowel cancers: a well-defined French population study. American Journal of Gastroenterology. 2006;101:2826–2832.
DELCHIER J-C. Le lymphome gastrique du MALT, une infection maligne potentiellement curable par l’éradication de Helicobacter pylori. Gastroentérologie Clinique et Biologique. 2003;27:453–458.
Wang Y-G, Zhao L-Y, Liu C-Q, et al. Clinical characteristics and prognostic factors of primary gastric lymphoma: a retrospective study with 165 cases. Medicine; 95.
Nakamura S, Sugiyama T, Matsumoto T, et al. Long-term clinical outcome of gastric MALT lymphoma after eradication of Helicobacter pylori: a multicentre cohort follow-up study of 420 patients in Japan. Gut. 2012;61:507–513.
Miyamoto K, Shimizu Y, Inada K, et al. Mucosa-associated lymphoid tissue lymphoma with perforation of the stomach-A case report. Jpn J Canc Clin. 1999;45:135–41.
Chang Y-T, Huang M-Y, Shih H-H, et al. Gastric MALT lymphoma presented with primary perforation in an adolescent: a case report. BMC pediatrics. 2019;19: 63.
Fischbach W. MALT lymphoma: forget surgery? Digestive Diseases. 2013;31:38–42.
Juárez-Salcedo LM, Sokol L, Chavez JC, et al. Primary Gastric Lymphoma, Epidemiology, Clinical Diagnosis, and Treatment. Cancer Control. 2018;25:1073274818778256.
El Asmar A, Khattar F, Alam M, et al. Spontaneous perforation of primary gastric B‐cell lymphoma of MALT: a case report and literature review. Clinical Case Reports. 2016;4:1049.
López-Zamudio J, Ramírez-González LR, Núnez-Márquez J, et al. Gastric perforation by MALT lymphoma. Case report. Cirugía y Cirujanos (English Edition). 2015;83:217– 221.
Ruskoné-Fourmestraux A, Fischbach W, Aleman B, et al. EGILS consensus report. Gastric extranodal marginal zone B-cell lymphoma of MALT. Gut. 2011;60:747–758.
Zucca E, Copie Bergman C, Ricardi U, et al. Gastric marginal zone lymphoma of MALT type: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up.
Ruskoné-Fourmestraux A, Matysiak-Budnik T, Fabiani B, et al. Exclusive moderate-dose radiotherapy in gastric marginal zone B-cell MALT lymphoma: results of a prospective study with a long term follow-up. Radiotherapy and Oncology. 2015;117:178–182.
Chuang S, Diss T, Li C. Primary gastric small lymphocytic lymphoma with perforation. Histopathology. 2006;49:656–658.
Nagtegaal ID, Odze RD, Klimstra D, et al. The 2019 WHO classification of tumours of the digestive system. Histopathology. 2020;76: 182–188.
Ruskoné-Fourmestraux A, Lavergne-Slove A, Delmer A. Les lymphomes gastro-intestinaux. /data/revues/03998320/00260003/233/, Available:https://www.em-consulte.com/en/article/99049 (2008, accessed 12 April 2020).
Swerdlow SH. WHO classification of tumours of haematopoietic and lymphoid tissues. WHO Classification of Tumours. 2008;22008:439.
Lepage C, Bouvier A-M, Manfredi S, et al. Incidence and management of primary malignant small bowel cancers: a well-defined French population study. American Journal of Gastroenterology. 2006;101:2826–2832.
DELCHIER J-C. Le lymphome gastrique du MALT, une infection maligne potentiellement curable par l’éradication de Helicobacter pylori. Gastroentérologie Clinique et Biologique. 2003;27:453–458.
Wang Y-G, Zhao L-Y, Liu C-Q, et al. Clinical characteristics and prognostic factors of primary gastric lymphoma: a retrospective study with 165 cases. Medicine; 95.
Nakamura S, Sugiyama T, Matsumoto T, et al. Long-term clinical outcome of gastric MALT lymphoma after eradication of Helicobacter pylori: a multicentre cohort follow-up study of 420 patients in Japan. Gut. 2012;61:507–513.
Miyamoto K, Shimizu Y, Inada K, et al. Mucosa-associated lymphoid tissue lymphoma with perforation of the stomach-A case report. Jpn J Canc Clin. 1999;45:135–41.
Chang Y-T, Huang M-Y, Shih H-H, et al. Gastric MALT lymphoma presented with primary perforation in an adolescent: a case report. BMC pediatrics. 2019;19: 63.
Fischbach W. MALT lymphoma: forget surgery? Digestive Diseases. 2013;31:38–42.
Juárez-Salcedo LM, Sokol L, Chavez JC, et al. Primary Gastric Lymphoma, Epidemiology, Clinical Diagnosis, and Treatment. Cancer Control. 2018;25:1073274818778256.
El Asmar A, Khattar F, Alam M, et al. Spontaneous perforation of primary gastric B‐cell lymphoma of MALT: a case report and literature review. Clinical Case Reports. 2016;4:1049.
López-Zamudio J, Ramírez-González LR, Núnez-Márquez J, et al. Gastric perforation by MALT lymphoma. Case report. Cirugía y Cirujanos (English Edition). 2015;83:217– 221.
Ruskoné-Fourmestraux A, Fischbach W, Aleman B, et al. EGILS consensus report. Gastric extranodal marginal zone B-cell lymphoma of MALT. Gut. 2011;60:747–758.
Zucca E, Copie Bergman C, Ricardi U, et al. Gastric marginal zone lymphoma of MALT type: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up.
Ruskoné-Fourmestraux A, Matysiak-Budnik T, Fabiani B, et al. Exclusive moderate-dose radiotherapy in gastric marginal zone B-cell MALT lymphoma: results of a prospective study with a long term follow-up. Radiotherapy and Oncology. 2015;117:178–182.
Chuang S, Diss T, Li C. Primary gastric small lymphocytic lymphoma with perforation. Histopathology. 2006;49:656–658.
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