Adult T-cell leukemia/lymphoma with gastric lesions. Report of three cases.
We describe three cases of adult T-cell leukemia/lymphoma (ATL) with malignant cell infiltration into the stomach. Case 1, a 63-year-old man, had a large ulcerative lesion on the lesser curvature of the upper stomach. Case 2, a 44-year-old man, had an irregular depressed lesion simulating a IIc-type early gastric cancer on the posterior wall of the mid portion of the stomach. Case 3, a 58-year-old man, had multiple irregular depressed lesions on the lesser curvature of the lower part of the stomach. In all cases, histologic examinations of the biopsy specimens confirmed ATL-cell infiltration into the stomach. In cases 1 and 2, repeated roentgenographic and endoscopic examinations revealed the characteristic changes of the gastric lesions over the course of time.
Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
S
S
Nakamura
M
M
Iida
T
T
Matsui
T
T
Yao
Y
Y
Kuwano
K
K
Nishiyama
A
A
Sakamoto
M
M
Fujishima
D000328:Adult; D005773:Gastroscopy; D006801:Humans; D015459:Leukemia-Lymphoma, Adult T-Cell / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013274:Stomach Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D013276:Stomach Ulcer / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology