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[A case of primary gastric malignant lymphoma with chylous ascites].

Abstract
An 87-year-old man presented with appetite loss and abdominal distension. Routine blood tests revealed hypoproteinemia. Abdominal computed tomography revealed ascites, which was subsequently drained. Biochemical analysis of the ascitic fluid detected chyle. Esophagogastroduodenoscopy revealed nodular swelling of the mucosa, swelling folds, and widespread erosions in the stomach. Stage I diffuse large B-cell gastric malignant lymphoma was diagnosed on the basis of the Lugano International Conference classification system. Six courses of R-CHOP [rituximab, cyclophosphamide, hydroxydaunorubicin (doxorubicin), vincristine (Oncovin(®)), and prednisolone] therapy were administered, following which complete remission was achieved and the chylous ascites mostly disappeared.
AuthorsYoshikazu Yamamoto, Shinsuke Kumei, Takeshi Ogura, Yutaka Onishi, Mitsuo Maeda, Yasuko Matsuno
JournalNihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology (Nihon Shokakibyo Gakkai Zasshi) Vol. 110 Issue 10 Pg. 1790-6 (Oct 2013) ISSN: 0446-6586 [Print] Japan
PMID24097150 (Publication Type: Case Reports, English Abstract, Journal Article)
Topics
  • Aged, 80 and over
  • Chylous Ascites (etiology)
  • Humans
  • Lymphoma, B-Cell (complications)
  • Male
  • Stomach Neoplasms (complications)

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