Lymphoma of the stomach
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This patient has lymphoma of the stomach. Lymphoma of the stomach can resemble superficially spreading carcinoma, linitis plastica, or solitary adenocarcinoma. Gastroscopy with directed biopsy and brush cytology gives a higher yield than was previously appreciated, especially in the presence of exophytic lesions. Lymphoma of the stomach frequently presents radiographically as a bulky mass and less frequently as a diffusely infiltrating tumor-the most common form of secondary lymphoma-giving the appearance of large folds on upper GI series, frequently associated with multiple nodular defects and ulcerations. Although CT may be useful to evaluate the extent of disease, it will not provide a specific diagnosis. Exploratory laparotomy is useful for staging and therapeutic resection where possible.
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