Pancreaticoduodenectomy for perforated gastric malignant lymphoma: report of a case.
We herein report the case of a 65-year old man with gastroduodenal malignant lymphoma (diffuse large B-cell type) accompanied with a bulbar perforation. A pancreaticoduodenectomy was performed because the duodenal second portion and pancreatic head were involved. However, extensive lymphadenectomy was not carried out because many lymph nodes were involved. The postoperative course was uneventful and CHOP therapy (pirarubicin 30 mg/m2, cyclophosphamide 500 mg/m2, vincristine 1 mg/m2, prednisolone 30 mg/m2) was started 1 month after surgery. Seven cycles of CHOP therapy markedly reduced the residual lesions including lymph nodes, and a computed tomography scan after the final chemotherapy revealed no obvious lesions. Complete remission was obtained and the patient was discharged 9 months after surgery.
Shoji
Tuyoshi
T
Second Department of Surgery, Hamamatsu University School of Medicine, Japan.
Konno
Hiroyuki
H
Tanaka
Tatsuo
T
Baba
Megumi
M
Kamiya
Kinji
K
Kaneko
Takeshi
T
Igarashi
Akira
A
Nakamura
Satoshi
S
D000368:Aged; D004386:Duodenum / Q000473:pathology; D006801:Humans; D016393:Lymphoma, B-Cell / Q000473:pathology / Q000601:surgery*; D016403:Lymphoma, Large B-Cell, Diffuse / Q000473:pathology / Q000601:surgery*; D008297:Male; D009361:Neoplasm Invasiveness; D010166:Palliative Care; D010179:Pancreas / Q000473:pathology; D016577:Pancreaticoduodenectomy; D012422:Rupture, Spontaneous; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*