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A case of primary gastric lymphoma in a child
Byung Kyu Choe1, Ji Young Kim, Jin-Bok Hwang
1Department of Pediatrics, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea. choebk70@dsmc.or.kr
Insights
Primary gastric lymphoma, a rare pediatric cancer, was successfully treated with chemotherapy alone in a young girl. This approach avoided surgery and radiotherapy, offering a less invasive treatment option.
Area of Science:
- Pediatric Oncology
- Gastrointestinal Oncology
Background:
- Primary gastric lymphoma is a rare malignancy in children, distinct from adult cases often linked to Helicobacter pylori.
- Traditional treatments for adult gastric lymphoma involve surgery, chemotherapy, and radiotherapy.
Observation:
- A pediatric case presented with epigastric pain and upper gastrointestinal bleeding.
- The patient was diagnosed with primary gastric lymphoma.
Findings:
- Chemotherapy alone proved sufficient in controlling the disease.
- No additional treatments like surgery or radiotherapy were required.
Implications:
- Highlights the potential efficacy of chemotherapy as a primary treatment for pediatric gastric lymphoma.
- Suggests a less invasive therapeutic strategy may be viable for this rare pediatric cancer.
Abstract:
Primary gastric lymphoma is a rare gastrointestinal cancer in children. Adult cases of primary gastric lymphoma are often associated with Helicobacter pylori infection and in the past were treated mainly by surgery with additional chemotherapy and/or radiotherapy. We experienced a case recently of a primary gastric lymphoma in a girl. She presented at our hospital with epigastric abdominal pain and upper gastrointestinal bleeding. Chemotherapy alone sufficiently controlled the disease and no additional therapeutic modalities were needed.