Abstract
Gastric lymphoma can be treated effectively by a combination of chemotherapy and radiotherapy of the intact stomach; this often eliminates the need for gastrectomy. This article presents 21 patients with gastric lymphoma and compares the radiographic appearance of the intact stomach before and after treatment. There was a variable decrease in lymphomatous involvement of the stomach during the first several months after radiotherapy alone or in combination with chemotherapy. Gastric atrophy with diminished distensibility and constrictive changes was observed, but most remarkable was the appearance of linitis plastica.
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Maor MH, Maddux B, Osborne BM, Fuller LM, Sullivan JA, Nelson RS, Martin RG, Libshitz HI, Velasquez WS, Bennett RW: Stages IE and IIE non Hodgkin's lymphoma of the stomach: comparison of treatment modalities.Cancer (in press)
Shiu MH, Karas M, Nisce L, Lee BJ, Filippa DA, Lieberman PH: Management of primary gastric lymphoma.Ann Surg 195:196–202, 1982
Friedman AI: Primary lymphosarcoma of the stomach. A clinical study of seventy-five cases.Am J Med 26:783–796, 1959
Zornoza J, Dodd GD: Lymphoma of the gastrointestinal tract.Semin Roentgenol 15:272–287, 1980
Kline TS, Goldstein F: Malignant lymphoma involving the stomach.Cancer 32:961–968, 1973
Marshak RH, Lindner AE, Maklansky D: The radiology corner. Lymphosarcoma of the stomach.Am J Gastroenterol 66:176–184, 1976
Menuck LS: Gastric lymphoma, a radiologic diagnosis.Gastrointest Radiol 1:157–161, 1976
Sherrick DW, Hodgson JR, Dockerty MB: The roentgenologic diagnosis of primary gastric lymphoma.Radiology 84:925–932, 1965
Fajardo LF:Pathology of Radiation Injury. New York: Masson, 1982, pp 54–57
Smith JC, Bolande RP: Radiation and drug produced hyalinization of the stomach.Arch Pathol 79:310–316, 1965
Goldstein HM, Rogers LF, Fletcher GH, Dodd GD: Radiologic manifestations of radiation-induced injury to the normal upper gastrointestinal tract.Radiology 117:135–140, 1975
Goldstein HM: Esophagus, stomach and duodenum. In Libshitz HI (ed):Diagnostic Roentgenology of Radiotherapy Change. Baltimore: Williams and Wilkins, 1979, pp 69–83
Lane D: Irradiation gastritis simulating carcinoma.Med J Aust 2:576–577, 1970
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Libshitz, H.I., Lindell, M.M., Maor, M.H. et al. Appearance of the intact lymphomatous stomach following radiotherapy and chemotherapy. Gastrointest Radiol 10, 25–29 (1985). https://doi.org/10.1007/BF01893065
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DOI: https://doi.org/10.1007/BF01893065