Abstract
We have found an incidence of 3 per cent (14 cases) of gastric involvement in 455 patients with known Hodgkin's disease who were admitted to the Mount Sinai Hospital between 1959 and 1964. In 8 of these 14 cases, the gastric lesion appeared to be the predominant or only manifestation of the disease. Gastric Hodgkin's disease was noted to occur in three main varieties: a discrete ulceration; infiltrations of the wall; or submucosal masses. In 3 of our cases, multicentric lesions were noted. The least extensive gastric lesions in our series presented as a simple ulcer. Although no single roentgen finding is specific for gastric Hodgkin's disease, as it can be mimicked by both scirrhous carcinoma and other lymphomas, the finding of multiple ulcers within an area of decreased distensibility should suggest the diagnosis of Hodgkin's disease.
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