A case of primary lymphosarcoma occupying two-thirds of the lumen of the stomach is reported. This occurred in a woman 38 years old. Primary lymphosarcoma of the stomach occurs in about 1 per cent of all gastric neoplasms. The youngest patient with this lesion reported in the literature was 3 1 2 years of age, and the oldest patient was 85 years. The longest survival after gastrectomy reported surgically cured was 19 years (Jones and Carmody). Patients with large palpable gastric tumors before middle age should be suspected of having sarcoma of the stomach and not carcinoma. Subtotal or even total gastrectomy followed by deep Roentgen therapy is the procedure generally followed.
Read full abstract