Radiologic manifestations of early gastric lymphoma

Sato, Tadayuki; Sakai, Yoshiko; Ishiguro, Shingo; Furukawa, Hisako

doi:10.2214/ajr.146.3.513

Cited by 19 publications

(3 citation statements)

References 16 publications

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“…Early gastric lymphoma is confined to the mucosa and submucosa (Fig 10a), with an average size of only 3.5 cm at diagnosis (21). Gastric lymphomas are usually advanced lesions with a mean CT is the primary imaging modality for pretreatment evaluation of abdominal lymphoma.…”

Section: Gastric Lymphomamentioning

confidence: 99%

Dedicated Multidetector CT of the Stomach: Spectrum of Diseases

Ba‐Ssalamah¹,

Prokop²,

Uffmann³

et al. 2003

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Multidetector computed tomography (CT) offers new opportunities in imaging of the gastrointestinal tract. When thin collimation is used, near-isotropic imaging of the stomach is possible, allowing high-quality multiplanar reformation and three-dimensional reconstruction of gastric images. Proper distention of the stomach and optimally timed administration of intravenous contrast material are required to detect and characterize disease. In contrast to gastroscopy and double-contrast studies of the stomach, CT provides information about both the gastric wall and the extragastric extent of disease. Preoperative staging of gastric carcinoma appears to be the main clinical indication for multidetector CT. In addition, multidetector CT allows detection of other gastric malignancies (lymphoma, carcinoid tumors, metastases, gastrointestinal stromal tumors) and benign gastric tumors (neural tumors, polyps). Gastric inflammation (gastritis, ulcers, Ménétrier disease) and miscellaneous gastric conditions (emphysema, gastric outlet obstruction, varices) can also be visualized with multidetector CT. Multidetector CT is a valuable tool for the evaluation of gastric wall disease and serves as an adjunct to endoscopy.

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Section: Gastric Lymphomamentioning

confidence: 99%

Dedicated Multidetector CT of the Stomach: Spectrum of Diseases

Ba‐Ssalamah¹,

Prokop²,

Uffmann³

et al. 2003

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183

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“…Moreover, it is possible to distinguish the predominant features of early and advanced gastric lymphomas: the first usually present as shallow ulcerations or uneven mucosa with enlarging radiation folds [ 21 ]; the second are usually revealed as multiple masses or ulcerations, diffuse thickening of the folds, extensive submucosal infiltration, extension across the pylorus or the esophagogastric junction, large tumours over 10 cm in diameter, and preservation of pliability of the gastric wall due to a lack of the desmoplastic reaction [ 22 , 23 ].…”

Section: Gastric Lymphomamentioning

confidence: 99%

Radiological Features of Gastrointestinal Lymphoma

Vernuccio

Midiri

et al. 2016

Gastroenterology Research and Practice

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Gastrointestinal lymphomas represent 5–20% of extranodal lymphomas and mainly occur in the stomach and small intestine. Clinical findings are not specific, thus often determining a delay in the diagnosis. Imaging features at conventional and cross-sectional imaging must be known by the radiologist since he/she plays a pivotal role in the diagnosis and disease assessment, thus assisting in the choice of the optimal treatment to patients. This review focuses on the wide variety of imaging presentation of esophageal, gastric, and small and large bowel lymphoma presenting their main imaging appearances at conventional and cross-sectional imaging, mainly focusing on computed tomography and magnetic resonance, helping in the choice of the best imaging technique for the disease characterization and assessment and the recognition of potential complications.

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“…In the 16 patients in whom barium upper-gastrointestinal contrast studies were carried out, malignancy was suspected but in no case was a lymphoma diagnosed. Previous reports have also shown that roentgenographic findings are of little value in the diagnosis of gastric lymphoma with a correct diagnosis occurring in only 10-15% of cases [3,8,12,34,35]. More recently, encouraging results have been reported with the use of abdominal ultrasonography , which has been found improves survival of patients with primary gastric lymphoma [l-3,8,10,11,13,18,22-271. However, data are not in agreement, since reports from large homogenous series are lacking [10,12,13,22,23,.…”

Section: Discussionmentioning

confidence: 99%

Primary gastinc lymphoma

Secco

Fardelli

Campora³

et al. 1993

Journal of Surgical Oncology

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The records of 30 patients with primary gastric lymphoma and a minimum of 5 years of follow-up were reviewed and clinical and pathologic prognostic factors analyzed. The overall 5-year survival was 40% (median 23 months). No significant relationship between surgical and patient age, sex, duration of symptoms, macroscopic appearance, or size of the primary lesion or degree of serosal infiltration was demonstrated. Stage of disease and site of primary had an impact on prognosis. Survival was improved in patients with stage I-II disease (P < 0.05) and in patients with primary located in the distal third of the stomach (P < 0.05). Although histology in all three classifications did not correlate well with survival, patients with low-grade lymphoma according to Kiel showed improved outcome (P < 0.05). Five-year survival of 11 patients with positive lymph nodes, 6 of whom were treated with cytotoxic therapy, was 54% and comparable to that of 7 patients (56%) with no nodal involvement who did not receive chemotherapy after surgery.

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Radiologic manifestations of early gastric lymphoma

Cited by 19 publications

References 16 publications

Dedicated Multidetector CT of the Stomach: Spectrum of Diseases

Dedicated Multidetector CT of the Stomach: Spectrum of Diseases

Radiological Features of Gastrointestinal Lymphoma

Primary gastinc lymphoma

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