Gastric T-cell lymphoma associated with hemophagocytic syndrome.
BACKGROUND
Lymphoma-associated hemophagocytic syndrome (LAHS) occurs in mostly extra nodal non-Hodgkin's lymphoma. LAHS arising from gastrointestinal lymphoma has never been reported. Here we report a case of gastric T-cell lymphoma-associated hemophagocytic syndrome.


METHODS
A 51-year-old woman presented with pain, redness of breasts, fever and hematemesis. Hematological examination revealed anemia. Gastroscopy revealed small bleeding ulcers in the stomach and the computed tomography scan showed liver tumor. She underwent total gastrectomy for gastrointestinal bleeding and the histopathology revealed gastric T-cell lymphoma. She continued to bleed from the anastomosis and died on the 8th postoperative day. Autopsy revealed it to be a LAHS.


CONCLUSIONS
If Hemophagocytic syndrome (HPS) occurs in lymphoma of the gastrointestinal tract, bleeding from the primary lesion might be uncontrollable. Early diagnosis and appropriate treatment are needed for long-term survival.
Fukui
Rika
R
First Department of Surgery, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo 060-8543, Japan. rfukui@sapmed.ac.jp
Hata
Fumitake
F
Yasoshima
Takahiro
T
Denno
Ryuuichi
R
Okazaki
Minoru
M
Kasai
Kiyoshi
K
Sato
Masaaki
M
Homma
Toshio
T
Ohno
Keisuke
K
Yanai
Yoshiyuki
Y
Sogahata
Katsuya
K
Nishimori
Hidefumi
H
Hirata
Koichi
K