Kosin Medical Journal

Differences in Endoscopic Findings of Primary and Secondary Gastric Lymphoma: Kyoungwon Jung, Hae Soo Jeon, Moo In Park, Il Hyeong Choe, Hyun Seung Je, Jae Hyun Kim, Sung Eun Kim, Won Moon, Seun Ja Park; Kosin Med J. 2020;35(2):114-124. Published online December 31, 2020; DOI: https://doi.org/10.7180/kmj.2020.35.2.114

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Objectives

: Since endoscopic findings of primary gastric lymphoma are ambiguous and diverse, it is not easy to distinguish them from gastric adenocarcinoma or secondary gastric lymphoma. The aim of this study was to investigate the difference in clinical and endoscopic features between primary gastric lymphoma and gastric involvement of lymphoma.

Methods

: Forty-eight patients were enrolled in this retrospective study between June 2008 and February 2017. The patients were divided into primary gastric lymphoma group (primary group, n = 18) and gastric involvement group (secondary group, n = 30) based on whether or not they carried gastric lesions alone. Patients’ clinical characteristics, endoscopic findings and pathologic data were retrospectively reviewed based on electronic medical records.

Results

: The mean age of patients was 63.3 ± 13.1 years and 29 patients were female (60.4%). Diffuse large B-cell lymphoma pathology (81.3%), gastric body involvement (47.9%) and ulceroinfiltrative morphology on endoscopy (43.8%) were common features. Regardless of the two groups, the initial endoscopic diagnosis was considered as lymphoma only in 41.7%. Compared with the primary group, fundus (P = 0.035) and regional lymph node (P < 0.001) were significantly associated with the secondary group. However, there was no significant difference in endoscopic findings including location, size, number, and morphology of lesion.

Conclusions

: Endoscopic diagnosis of gastric lymphoma is a challenge. There is no difference in endoscopic findings between the primary and secondary groups even when confirmed separately. However, when the lesion is present in the fundus, we keep in mind the possibility of secondary gastric lymphoma.

Citations

Citations to this article as recorded by

Endoscopic and Histopathological Characteristics of Gastrointestinal Lymphoma: A Multicentric Study
Quang Trung Tran, Thinh Nguyen Duy, Bao Song Nguyen-Tran, Tung Nguyen-Thanh, Quy Tran Ngo, Nam Phuong Tran Thi, Vi Le, Thuan Dang-Cong
Diagnostics.2023; 13(17): 2767. CrossRef
A Differential Diagnosis of Unusual Gastric Ulcer
Soo-Yoon Sung, Hyun Ho Choi, Kyung Jin Seo
Diagnostics.2022; 12(8): 1929. CrossRef

A Case Of Huge Brunner's Gland Adenoma With Acute Bleeding Treated By Endoscopic Resection: Pyung Kang Park, Woo-Cho Chung, Kyoung Yong Lee, Sung Hak Lee, Jae Jung Jang, Seungchul Suh; Kosin Med J. 2015;30(2):171-174. Published online January 20, 2015; DOI: https://doi.org/10.7180/kmj.2015.30.2.171

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Abstract PDF PubReader ePub: Abstract
Brunner's gland adenoma is a rare benign small bowel neoplasm and it represents 10% of small bowel benign tumor. Most of adenoma manifest as polypoidal, multiple and size does not exceed 1 cm and mostly asymptomatic, but the lesion larger than 1 ㎝ is solitary and can cause bleeding, obstruction, intussusception and there are some reports of showing malignant transformation. Until the present, there are two cases of over 8㎝ huge Brunner's gland adenoma in Korea and each of their chief complaint was abdominal discomfort and melena, but there is no case report of over 8 ㎝ Brunner's gland adenoma accompanied with acute bleeding as seen in this case. We diagnosed an 8 ㎝ sized, huge duodenal Brunner's gland adenoma which accompanied with acute bleeding and treated it by endoscopic resection using an IT-knife, successfully.

A Case of Henoch Schönlein Purpura with Gastrointestinal Bleeding Due to Jejunal Ulcer by Capsule Endoscopy: Yong Kang Lee, Tak Keun Oh, Ara Choi, Ji Hoon Lee, Mi Na Kim, Sung Pil Hong; Kosin Med J. 2012;27(1):45-49. Published online June 11, 2012; DOI: https://doi.org/10.7180/kmj.2012.27.1.45

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Abstract PDF PubReader ePub

Henoch-Schönlein purpura (HSP) is the most common form of systemic vasculitis in children. Palpable purpura, arthralgia, arthritis, abdominal pain and renal involvement are the major clinical manifestations. Gastrointestinal involvement is related with abdominal pain and bleeding.

We described a 71 year-old female experienced acute exacerbation of HSP presented with gastrointestinal bleeding. She was hospitalized for hematemesis and diagnosed duodenitis by esophagogastroduonenoscopy (EGD). Duodenitis was improved at EGD checked in 7 days. She still complained of melena and abdominal pain. There were no abnormal findings at sigmoidoscopy. Jejunal ulcer and purpura were diagnosed by capsule endoscopy. Symptoms were relieved after administration of systemic steroid. But she needed renal replacement therapy for 3 months.

Small bowel ulcer diagnosed by capsule endoscopy in patients with HSP was rarely described in Korean literature. This case suggests that capsule endoscopy have a role in diagnosis of small bowel ulcer and its severity in HSP with gastrointestinal symptom.

Citations

Citations to this article as recorded by

A practical approach for small bowel bleeding
Sung Eun Kim, Hyun Jin Kim, Myeongseok Koh, Min Cheol Kim, Joon Sung Kim, Ji Hyung Nam, Young Kwan Cho, A Reum Choe
Clinical Endoscopy.2023; 56(3): 283. CrossRef

The Prediction of States of Upper Gastrointestinal Tract Using Scoring System: Won Kyung Kim, Yoon Jin Kim; The Journal of Kosin Medical College. 1992;8(2):171-180.

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A Case of Orbital Cyst Originated from Ethmoidal Sinus : Treated by Nasal Endoscopic Marsupialization: Shin Jae Kwon, Joo Heon Roh, Bong Hee Lee; The Journal of Kosin Medical College. 1997;12(1-2):65-70.

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