Stomach non-adenocarcinoma neoplasms
report of four cases
Keywords:
neoplasms, stomach, lymphoma, leiomyosarcoma, plasmacytomaAbstract
The authors analyzed four patients, two men and two women from 40 to 75 years old, Who had stomach non-adenocarcinoma neoplasm, diagnosed and treated at the Surgery Department of the Faculty of Medical Sciences at PUC-Campinas in the Discipline of Digestive System Diseases I. The diagnoses were based on the esophagogastroduodenoscopy with biopy. Two of them were lymphoma, one plasmacytoma and the other leiomyosarcoma. These four patients represented 7.5% of stomach neoplasm dianosed in our service; most of the cases were adenocarcinoma (49 patients). Two patients undenvent a gastrectomy (one partial and other total), and the other two were considered unresectable during the laparotomy. One patient died in the postoperative period, one did not return for the follow-up, and the other two are having the follow up after chemotherapy, without recurrence until now. The authors emphasized the importance of correct diagnosis of stomach non-adenocarcinoma neoplasm to permit the ideal treatment.
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References
ALBERTI, P. et al. Unusual cause of gastric blending: leiomyoma. Minerva Chir, Torino, v.5 1, n. 10, 10.779-783, 1996.
ALB UJAR, P. et al. Primary gastrointestinal lymphomas: clinical and pathological aspects and survival. Rev Gastroenterol Peru, Lima, v. 15, n.2, p. 141-151, 1995.
BOING, H. Epidemiological research in stomach cancer. Progress over the last ten years. J Cancer Res Clin Oncol, Berlin, v. 1 1 7, n.3, p. 133-143, 1991.
COLECHIA, G. et al. Primary gastric lymphoma: personal experience. Minerva Chir, Torino, v.51, n. 12, p. 1061-1065, 1996.
DURR, ED. et al. Management of stage I.E. primaw gastric lymphoma. Acta Henzatol, Basel, v.94, n.2, p.59-68, 1995.
GRAMATICA, L. et al. Primary lymphoma between. Rev Argent Cir, Buenos Aires, v.61, n.5, p. 139-145. 1991.
HENRY, K., FARRER-BROWN, G. Primary lymphomas of the gastrointestinal tract. Histopathology, Oxford, v. l, p.53, 1997.
KANG, Y.K. et al. Primary malignant lymphomas of the stomach: pathological clinical analysis of 38 resected cases. J Korean Med Sci, v. I l, n.6, p.480488, 1996.
KURIHARA, N. et al. Gastric plasmocytoma: report of a case. Surg Today, Tokyo, v.26, n.8, p.632-634, 1996.
KURTZ, R.C., SHERLOCK, P. The diagnosis of gastric cancer. Seniin Oncol, Philadelphia, v. 1 2, n. 1 , p. 11-18, 1985.
MURARO, C.P.M., CAMARGO, J.G.T. Temas de gastrocirurgia. Campinas, 1991. 27p. Apostila do curso de medicina, promovido pelo Departamento de Clínica Cirúrgica/FCM da PUC-Campinas.
MURARO, C.P.M. et al. Estadiamento e ressecabilidade do câncer gástrico. Rev Med PUCCAMP, Campinas, v.6, n.2/3, p.85-87, 1997.
NAKAMURA, S. et al. Synchronous and metachronous primary gastric lymphoma and adenocarcinoma: a clinicopathological study of 12 patients. Cancer, Philadelphia, v.79, 11.6, p. 1077-1085, 1997.
PETROV, V.P., ROZHKOV, A.G., DRONOV, V.I. The diagnosis and surgical treatment of isolated lymphomas of the stomach. Vopr Onkol, Leningrad, v.39, n.4-6, p.203-207, 1993.
SPINA, D. et al. Primary gastric lymphomas (MALTomas): a nuclear image analysis comparision with lymphnode monocytoid B-cells and marginal zones of the spleen and Peyer's patches. Anal Cell Pathol, Limerick, v.8, n.4, p. 307-321, 1995.
TAAL, B.G. et al. The clinical spectrum and treatment of primary non-Hodgkin's lymphoma of the stomach. Ann Oncol, Dordrecht, v.4, p.839-846, 1993.
DE TOMA, G. et al. Role of surgery in the treatment of primary gastric lymphoma. Ann Ital Chir, Bologna, v.64, n.5, p.499-503, 1993.
TSURUDA, T. et al. Extra-medullary plasmocytoma of the jejunun. Intern Med, Tokyo, v.35, n.5, p.422-426, 1996.
VALENTIM, M. et al. Gastroduodenal involvement in staging of nodal non-Hodgkin's lymphomas: a clinical and endoscopic prospective study of 235 patients. Ant J Gastroenterol, New York, v.90, n. 11, p. 1959-1961, 1995.
WEINGRAD, D.N. et al. Primary gastrointestinal lymphomas. Cancer, Philadelphia, v.49, p. 1258, 1982.
