title: [Report of a case of perforated giant gastric malignant lymphoma].
abstract: A 54-year-old woman was found to have a gastric ulcer on medical examination, but the course with normal medication was monitored. Nine months later, she was transported to our hospital. A huge gastric ulcer was revealed and biopsy specimen indicated MALT lymphoma. We performed a total gastrectomy because it perforated before therapy, leaving a massive tumor. The final pathological diagnosis was DLBCL. She was administered rituximab-CHOP therapy for the remnant lesions. After 6 courses, the lesions disappeared. The patient has been alive without any recurrence or metastasis five years after surgery.
authors.affiliation: Dept. of Surgery, Onochuo Hospital, Japan.
authors.forename: Ayako
authors.initials: A
authors.lastname: Ishimaru
authors.forename: Masaki
authors.initials: M
authors.lastname: Kitsukawa
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003520:Cyclophosphamide / Q000627:therapeutic use; D004317:Doxorubicin / Q000627:therapeutic use; D005260:Female; D005743:Gastrectomy; D006801:Humans; D018442:Lymphoma, B-Cell, Marginal Zone / Q000188:drug therapy / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000473:pathology* / Q000601:surgery; D011241:Prednisone / Q000627:therapeutic use; D013274:Stomach Neoplasms / Q000188:drug therapy / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D013276:Stomach Ulcer / Q000150:complications* / Q000601:surgery; D014750:Vincristine / Q000627:therapeutic use
chemical_list: D014750:Vincristine; D004317:Doxorubicin; D003520:Cyclophosphamide; D011241:Prednisone