caa a22 4500 475754174 CHVBK 20180406123533.0 cr unu---uuuuu 170329e20001101xx s 000 0 eng 10.1007/s005950070028 doi (NATIONALLICENCE)springer-10.1007/s005950070028 Primary Gastric Lymphoma with Spontaneous Perforation: Report of a Case [Elektronische Daten] [Kiyotaka Yabuki, Yoshihisa Tamasaki, Koichi Satoh, Takeo Maekawa, Michio Matsumoto] Primary gastric lymphoma with spontaneous perforation is rare. We report herein the case of a 53-year-old-man who was admitted to our hospital with severe epigastralgia. Emergency endoscopic examination showed a perforated gastric tumor in the lower body of the greater curvature, and a distal subtotal gastrectomy with lymph node dissection was performed. The resected tumor measured 10.0 × 8.0 cm and was associated with an area of ulceration, 8.0 × 6.0 cm in size, and perforation, 1.0 × 0.5 cm in size. Pathological examination confirmed a diagnosis of B-cell malignant lymphoma of the diffuse, medium-sized cell type. According to the Ann Arbor and Naqvi classifications, the lymphoma was stage II and stage III, respectively. Postoperative adjuvant chemotherapy comprising cyclophosphamide, doxorubicin, vincristine, and prednisolone (CHOP) was given. The patient is currently well with no signs of recurrence, 2 years 4 months after his operation. Springer-Verlag, 2000 Key words Gastric lymphoma nationallicence Spontaneous perforation nationallicence Yabuki Kiyotaka Departments of Surgery and aut Tamasaki Yoshihisa Departments of Surgery and aut Satoh Koichi Departments of Surgery and aut Maekawa Takeo Departments of Surgery and aut Matsumoto Michio Pathology, Juntendo Izunagaoka Hospital, 1129 Nagaoka, Izunagaoka-cho, Tagata District, Shizuoka 410-2211, Japan, JP aut https://doi.org/10.1007/s005950070028 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070028 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yabuki Kiyotaka Departments of Surgery and aut NATIONALLICENCE 700 1- Tamasaki Yoshihisa Departments of Surgery and aut NATIONALLICENCE 700 1- Satoh Koichi Departments of Surgery and aut NATIONALLICENCE 700 1- Maekawa Takeo Departments of Surgery and aut NATIONALLICENCE 700 1- Matsumoto Michio Pathology, Juntendo Izunagaoka Hospital, 1129 Nagaoka, Izunagaoka-cho, Tagata District, Shizuoka 410-2211, Japan, JP aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer