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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 349:382-391 July 24, 2003 Number 4
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Case 23-2003 — A 79-Year-Old Woman with Gastric Lymphoma and Erosive Mucosal and Cutaneous Lesions
A. Razzaque Ahmed, M.D., Mathew M. Avram, M.D., J.D., and Lyn M. Duncan, M.D.

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Presentation of Case

A 79-year-old woman with a gastric B-cell lymphoma of the mucosa-associated lymphoid tissue (MALT) type was admitted to the hospital because of erosive mucosal and cutaneous lesions.

The patient had been well until 14 months before admission, when she began to have cramping abdominal pain and to pass black, tarry stools. Endoscopic ultrasonographic examination of the upper gastrointestinal tract to the second part of the duodenum, performed 13 months before admission, revealed a large, submucosal, noncircumferential mass, 6 by 3 cm, involving the cardia and gastroesophageal junction, without associated bleeding or ulceration; the mass was well defined and did not . . . [Full Text of this Article]

Differential Diagnosis

Pemphigus

Pemphigoid

Paraneoplastic Pemphigus

Clinical Diagnosis

Dr. A. Razzaque Ahmed's Diagnosis

Pathological Discussion

Anatomical Diagnosis


Source Information

From the Department of Oral Medicine, New England Baptist Hospital and Harvard School of Dental Medicine (A.R.A.); the Department of Dermatology (M.M.A.) and the Department of Pathology, Dermatopathology Unit (L.M.D.), Massachusetts General Hospital; and the Departments of Dermatology (A.R.A., M.M.A.) and Pathology (L.M.D.), Harvard Medical School — all in Boston.



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