Article Text

Download PDFPDF
Reminder of important clinical lesson
Malignant gastric lymphoma with spontaneous perforation
  1. Satoko Shimada,
  2. Tokichi Gen,
  3. Hiroyuki Okamoto
  1. Department of General Surgery, JA Toride Medical Centre, Toride-shi, Japan
  1. Correspondence to Dr Satoko Shimada, stomiya{at}


Malignant gastric lymphoma, accounting only for 1% of primary gastric carcinoma, is usually a diffuse large B-cell lymphoma. Toyota et al reported that 37% of gastric perforations involved malignancy, generally gastric carcinoma. Fukuda et al found that less than 5% of malignant gastric lymphomas perforate. While it is relatively well known that perforations often take place during chemotherapy, they are rare in patients not receiving chemotherapy. To our knowledge, spontaneous perforation is rare in gastric malignant lymphoma, having been reported in the Japanese literature only 26 times, including this case, in the last 25 years.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.