Document 0847 DOCN M9650847 TI Primary gastric T-cell lymphoma with cutaneous involvement. A case report and review of the literature. DT 9605 AU Naghavi R; Saw D; Brady T; Kaplan M; Tagoe C; Department of Medicine, New York Hospital Medical Center of; Queens, Flushing 11355, USA. SO J Clin Gastroenterol. 1995 Dec;21(4):312-6. Unique Identifier : AIDSLINE MED/96159679 AB Primary gastric T-cell lymphomas are extremely rare. We report a Ki-1 negative primary gastric T-cell lymphoma of the anaplastic large cell type associated with extensive involvement of the skin, gastrointestinal tract, and other organ involvement in a patient not known to be immunocompromized. Biopsy of the stomach and distal esophagus showed infiltration of gastric mucosa and the squamous epithelium by nests of large atypical cells with vacuolated or clear cytoplasm, consistent with large cell lymphoma. Immunohistochemical staining of these specimens revealed neoplastic cells bearing LCA (CD45) and T-cell markers (UCHL1/CD45R0 and CD3). This represents the only case so far with synchronous presentation of gastric, esophageal, and cutaneous involvement without evidence of regional lymph node involvement. There was no association with HTLV-1 or HIV infection. The patient had a fulminant course and a poor response to chemotherapy. DE Aged Biopsy Case Report Esophageal Neoplasms/EPIDEMIOLOGY/PATHOLOGY Esophagus/PATHOLOGY Gastric Mucosa/PATHOLOGY Human Lymphoma, T-Cell/*EPIDEMIOLOGY/PATHOLOGY Lymphoma, T-Cell, Cutaneous/*EPIDEMIOLOGY/PATHOLOGY Male Skin/PATHOLOGY Skin Neoplasms/*EPIDEMIOLOGY/PATHOLOGY Stomach/PATHOLOGY Stomach Neoplasms/*EPIDEMIOLOGY/PATHOLOGY JOURNAL ARTICLE REVIEW REVIEW OF REPORTED CASES SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).