PRIMARY GASTRIC HODGKIN???S LYMPHOMA: A HISTOLOGICAL SURPRISE!!

Abstract

Channanna C1, Sunanda C2, Fazul Ur Rehman B. Choudhari3

INTRODUCTION: Non-Hodgkin's B-cell lymphomas represent the vast majority of primary gastric lymphomas, whereas primary Hodgkin's lymphoma (HL) involving the stomach is exceedingly rare and only a few cases have been reported in the medical literature to date. A diagnosis of HL depends primarily on the detection of Reed-Sternberg cells using light microscopy technique. Hodgkin’s disease is typically characterized by non-tender lymphadenopathy (m/c cervical group). The set of B symptoms (fevers, night sweats, weight loss >10%) may also be present. However in few cases the disease may be localized to gastrointestinal tract and regional lymph nodes. In such cases it is called as primary gastrointestinal lymphoma. The stomach alone may be involved, and such cases of primary lymphoma of stomach have been reported. Lymphomas of stomach are generally non-Hodgkin’s type & represent 5% of primary gastric malignancies. Here we report a rare case of primary gastric Hodgkin’s lymphoma, the diagnosis of which was confirmed postoperatively.

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