title: [A Case of Concurrent Primary Gastric Malignant T-Cell Lymphoma and Pulmonary Mucosa-Associated Lymphoid Tissue Lymphoma].
abstract: A 71-year-old man was admitted to our hospital for epigastric pain. Upper gastrointestinal endoscopy revealed a type 2- like ulcerative lesion in the posterior wall of the upper and middle part of the stomach. Endoscopic biopsies showed malignant T-cell lymphoma histologically. A chest CT scan revealed a nodule in the apex of right lung, suggestive of primary lung cancer. A total gastrectomy with D2 lymphadenectomy and distal pancreatectomy with splenectomy was performed. Seventy-three days after surgery, the patient developed a lung abscess in the middle lobe of the right lung. A wedge-shaped resection of the upper lobe and total resection of the middle lobe of the right lung was performed. Histological examination revealed a primary pulmonary mucosa-associated lymphoid tissue lymphoma in the upper lobe of right lung and an abscess caused by Pseudomonas aeruginosa in the middle lobe of the right lung. Twelve months after surgery the man died of suffocation because of aspiration due to esophageal stenosis caused by progression of metastasis of the paraesophageal lymph node.
authors.affiliation: Dept. of Surgery, Kansai Rosai Hospital.
authors.forename: Tadayoshi
authors.initials: T
authors.lastname: Hashimoto
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Tamura
authors.forename: Atsushi
authors.initials: A
authors.lastname: Takeno
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Taniguchi
authors.forename: Tomo
authors.initials: T
authors.lastname: Ishida
authors.forename: Yasufumi
authors.initials: Y
authors.lastname: Sato
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Morimoto
authors.forename: Hiroki
authors.initials: H
authors.lastname: Kusama
authors.forename: Katsunori
authors.initials: K
authors.lastname: Matsushita
authors.forename: Kei
authors.initials: K
authors.lastname: Kimura
authors.forename: Yoshiteru
authors.initials: Y
authors.lastname: Katsura
authors.forename: Kanae
authors.initials: K
authors.lastname: Nitta
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Ohmura
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Kagawa
authors.forename: Masatsugu
authors.initials: M
authors.lastname: Okishiro
authors.forename: Hideki
authors.initials: H
authors.lastname: Sakisaka
authors.forename: Chiyomi
authors.initials: C
authors.lastname: Egawa
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Takeda
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kato
mesh_terms: D000368:Aged; D005743:Gastrectomy; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology* / Q000601:surgery; D018442:Lymphoma, B-Cell, Marginal Zone / Q000175:diagnosis* / Q000601:surgery; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis* / Q000601:surgery; D010180:Pancreatectomy; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000601:surgery