Lymphoepithelioma-like gastric carcinoma presenting as giant ulcer of the lesser curvature: case report

G Chir. 2012 Jan-Feb;33(1-2):21-3.

Abstract

Lymphoepithelioma-like gastric carcinoma (LELGC) has special clinicopathologic features that differentiate it from the common gastric adenocarcinoma. LELGC is a rare neoplasm of the stomach with an incidence of 1-4% of all gastric cancers and is characterized by desmoplastic stroma uniformaly infiltrated by abundant lymphocytes and plasma cells. LELGC is closely associated with the Epstein-Barr virus (EBV), with 80-100% of LELGC being EBV-positive. LELGC has a male predominance, occurs in elderly people and is usually located in the upper and middle portion of the stomach. We report a rare case of lymphoepithelioma-like gastric carcinoma located in the lesser curvature at the border of the gastric body to the pyloric antrum.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / diagnosis
  • Adenocarcinoma / surgery
  • Diagnosis, Differential
  • Gastrectomy* / methods
  • Gastroscopy
  • Humans
  • Lymphoma / diagnosis*
  • Lymphoma / pathology
  • Lymphoma / surgery*
  • Male
  • Middle Aged
  • Stomach Neoplasms / diagnosis*
  • Stomach Neoplasms / pathology
  • Stomach Neoplasms / surgery*
  • Stomach Ulcer / diagnosis
  • Tomography, X-Ray Computed
  • Treatment Outcome