CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2019; 40(01): 147-149
DOI: 10.4103/ijmpo.ijmpo_150_18
Practitioner Section

Gastric lymphoma and gastric tuberculosis: A diagnostic dilemma

Atul Jain
Department of Surgery, ESI-PGIMSR, New Delhi, India
,
Pradhuman Yadav
Department of Surgery, ESI-PGIMSR, New Delhi, India
,
Subhajeet Dey
Department of Surgery, ESI-PGIMSR, New Delhi, India
,
Tanweer Karim
Department of Surgery, ESI-PGIMSR, New Delhi, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Gastric outlet obstruction may be caused by a heterogeneous group of diseases that include both benign and malignant conditions. Primary gastric lymphoma (3%–5% of all gastrointestinal malignancies) and primary gastric tuberculosis (TB) (0.4%–2%) are very rare and resemble each other in clinical presentation with diagnostic dilemma between them. Do the two entities exist concomitantly or precede each other is still a topic of debate in the literature. Here, we present a case of primary gastric TB and gastric lymphoma in the same patient.



Publication History

Article published online:
08 June 2021

© 2019. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Samad A, Whanzada TM, Shoukat I. astric outlet obstruction: Change in etiology. Pak J Surg 2007; 23: 29-32
  • 2 Ferrucci PF, Zucca E. Primary gastric lymphoma pathogenesis and treatment: What has changed over the past 10 years?. Br J Haematol 2007; 136: 521-38
  • 3 Okoro EO, Komolafe OF. Gastric tuberculosis: Unusual presentations in two patients. Clin Radiol 1999; 54: 257-9
  • 4 Freeman C, Berg JW, Cutler SJ. Occurrence and prognosis of extranodal lymphomas. Cancer 1972; 29: 252-60
  • 5 Gupta P, Guleria S, Mathur SR, Ahuja V. Gastroduodenal tuberculosis: A rare cause of gastric outlet obstruction. Surg J 2010; 5: 36-9
  • 6 Flores HB, Zano F, Ang EL, Estanislao N. Duodenal tuberculosis presenting as gastric outlet obstruction: A case report. World J Gastrointest Endosc 2011; 3: 16-9
  • 7 Rao YG, Pande GK, Sahni P, Chattopadhyay TK. Gastroduodenal tuberculosis management guidelines, based on a large experience and a review of the literature. Can J Surg 2004; 47: 364-8
  • 8 Asakawa H, Tsuji M, Tokumine Y, Kashihara T, Okuno M, Takenaka R. et al. Gastric T-cell lymphoma presenting with epithelioid granulomas mimicking tuberculosis in regional lymph nodes. J Gastroenterol 2001; 36: 190-4
  • 9 Kaya E, Halac M, Sönmezoglu K, Sager S, Uslu I. 18F-FDG-PET/CT findings in a patient with tuberculosis Hodgkin's disease and lupus vulgaris. Hell J Nucl Med 2009; 12: 285-6
  • 10 Bhattacharya A, Agrawal KL, Kashyap R, Manohar K, Mittal BR, Varma SC. et al. Coexisting tuberculosis and Non-Hodgkin's lymphoma on 18F-fluorodeoxyglucose PET-CT. J Postgrad Med Edu Res 2012; 46: 59-50