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February 1954


AMA Arch Surg. 1954;68(2):179-190. doi:10.1001/archsurg.1954.01260050181006

SURGICAL interest in gastrointestinal lymphoma obviously is limited to the solitary tumor amenable to extirpation. The prognosis in such a case is good—even better than that of gastrointestinal carcinoma treated at an early stage. This lesion of the digestive tract is not so rare as commonly thought. Singleton and Moore's collection of reports of gastrointestinal lymphosarcoma up to 1949 lists 563 cases. Its differential diagnosis is difficult. Its pathologic classification has been controversial. A brief review of the literature and observations in the series reported here confirm these impressions.

Fourteen cases of malignant lymphoma of the gastrointestinal tract have been recorded at Cedars of Lebanon Hospital, Los Angeles, between January, 1942, and January, 1952, 9 of which were in the stomach: 7 lymphosarcomas, in 1 of which there was coexistant myosarcoma; 1 reticulum cell sarcoma, and 1 Hodgkin's disease. The other five were lymphosarcomas of the ileum, of the