Abstract
The majority of nonepithelial gastrointestinal neoplasms are either lymphomas arising from the lymphoid tissue of the gut wall or tumors arising from the mesenchymal elements within the bowel wall. These two types of neoplasm bear no other relationship to each other except that the overall prognosis for patients with nonepithelial gastrointestinal neoplasms is generally better than for those patients who have the more common adenocarcinoma. The radiologic appearances, associated findings and patterns of metastases are considerably different as well. Furthermore, computed tomography (CT) plays a different role in the evaluation of these groups of patients; therefore, these lesions are considered in separate sections.
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References
Lymphoma
Gray G M, Rosenberg, S A, Cooper A D et al: Lymphoma involving the gastrointestinal tract. Gastroenterology 1982; 82: 143–152.
Rosenfelt F, Rosenberg SA: Diffuse histiocytic lymphoma presenting with gastrointestinal lesions: The Stanford experience. Cancer 1980; 45: 2188–2193.
Ellert J, Kreel L: Role of computed tomography in the initial staging and subsequent management of lymphomas. J Comput Assist Tomogr 1980; 4: 368–391.
Crowley K S, Don G, Gibson G E, et al: Primary gastrointestinal lymphoma. A clinic-opathologic study of 28 cases. Aust Nz J Med 1982; 12: 135–142.
Megibow A J, Balthazar E J, Naidich D P, Bosniak M A: Computed tomography of gastrointestinal lymphoma. Am J Roentgenol 1983; 8: 11–17.
Balfe D M, Koehler R E, Karstadt N, et al: Computed tomography of gastric neoplasms. Radiology 1980; 140: 431–436.
Lee K R, Levine E, Moffat R E, Bignongiari L R, Hermreck A S: Computed tomographic staging of malignant gastric neoplasm. Radiology 1979; 133: 151–155.
Pillari G, Weinreb J, Vernace F, et al: CT of gastric masses: Image patterns and a note on potential pitfalls. Gastrointest Radiol 1983; 8: 11–17.
Buy J N, Moss A A: Computed tomography of gastric lymphoma. Am J Roentgenol 1982; 138: 859–865.
Hermonsen C: Primary malignant lymphoma of the duodenum. Acta Clin Scand 1981; 147: 303–304.
Marshak R H, Wolf B S, Eliasoph J: The roentgen findings in lymphosarcoma of the small intestine. Am J Roentgenol 1961; 86: 682–692.
Pagani J, Bernardino M E: CT—Radiographic correlation of ulcerating small bowel lymphomas. Am J Roentgenol 1981; 136: 998–999.
Zeigler J L, Beckstead J A, Volberding P A, et al: Nonhodgkins lymphoma in 90 homosexual men. N Engl J Med 1984; 8: 565–569.
O’Connell DJ, Thompson AJ: Lymphoma of the colon: The spectrum of radiologic changes. Gastrointest Radiol 1978; 2: 377–385.
Hande K R, Fischer R I, DeVita V T, et al: Diffuse histiocytic lymphoma involving the gastrointestinal tract. Cancer 1978; 4: 1984–1989.
Joseph J L, Lottes R: Gastric lymphosarcoma: Clinical-pathologic study and its relation to disseminated lymphosarcoma. Am J Clin Pathol 1966; 45: 653–669.
Hertzer N R, Hoerr S O: An interpretive review of lymphoma of the stomach. Surg Gynecol Obstet 1976; 143: 113–124.
Friedman A F: Primary lymphosarcoma of the stomach: A clinical study of 75 cases. Am J Med 1958; 26: 783–796.
Bubenick K, Lopez M J, Greco A O, et al: Gastrosplenic fistula following successful chemotherapy for disseminated histiocytic lymphoma. Cancer 1983; 52: 994–996.
Ehrlich A M, Stalder G, Beller W, Sherlock P: Gastrointestinal manifestations of malignant lymphoma. Gastroenterology 1968; 54: 1115–1121.
Berg J W: Incidence of multiple primary cancer: Development of further cancers in patients with lymphomas, leukemias, myeloma. J Natl Cancer Inst 1967; 38: 741–752.
Weingrad D N, DeCosse J J, Sherlock P, et al: Primary gastrointestinal lymphoma. A 30 year review. Cancer 1982; 49: 1258–1265.
Lewin K J, Ranchod M, Dorfman R E: Lymphomas of the gastrointestinal tract. Cancer 1980; 42: 693–707.
Hermann R, Panahon AM, Barcos MP, et al: Gastrointestinal involvement in nonHodgkins lymphoma. Cancer 1980; 46: 215–222.
Moss AA: Computed tomography in the staging of gastrointestinal carcinoma. Radiol Clin North Am 1982; 20: 761–780.
Gore RM, Goldberg HI: Computed tomographic evaluation of the gastrointestinal tract in diseases other than primary adenocarcinoma. Radiol Clin North Am 1982; 20: 781–796.
Leiomyoma, Leiomyosarcoma
Balthazar E J: Gastrointestinal leiomyosarcoma, unusual sites: esophagus, colon, porta hepatis. Gastrointest Radiol 1981; 6: 295–303.
Phillips J C, Lindsay J W, Kendall J A: Gastric leiomyosarcoma roentgenologic and clinical findings. Am J Diag Dis 1970; 15: 236–246.
Wilson J M, Melvin D B, Gray D L, Thorbjanarson B: Primary malignancies of the small bowel: A report of 96 cases and a review of the literature. Am J Surg 1980; 1800: 175–179.
Moertel C G, Thyme G S: Large bowel, in Holland J F, Frei E (eds). Cancer Medicine, 2 ed. Philadelphia, Lea and Febiger, 1982; pp 1830–1859.
Rose B, Candy J: Gastric leiomyoblastoma. Gut 1970; 11: 291–300.
Skandalakis J E, Gray S W: Smooth Muscle Tumors of the Alimentary Tract. Leiomyomas and Leiomyosarcomas—a Review of 2525 cases. Springfield, Chas. C. Thomas 1962; pp 5–206.
Meissner W A: Leiomyoma of the stomach. Arch Pathol (Chicago) 1944; 38: 207–209.
Gilbertson R G, Dockerty M B, Gray H K: Leiomyosarcomas of the stomach. Surg Gynec Obstet 1954; 98: 186–96.
Baker H L, Good C A: Smooth muscle tumors of the alimentary tract. Am J Roentgenol 1955; 74: 246–255.
Schatzki R, Hawes L E: The roentgenographic appearance of extramucosal lesion of the esophagus. Am J Roentgenol 1942; 45: 1–5.
Herlinger H: Recognition of exogastric tumors. Br J Radiol 1966; 39:25–36.
Megibow A J, Balthazar E J, Hulnick D H, Naidich D P, Bosniak M A: CT evaluation of gastrointestinal leiomyomas and leiomyosarcomas. Am J Roentgenol 1985; 144: 727–731.
Slasky B S, Denese L, Skolnick M L: Exogastric leiomyoblastoma; Diagnosis by CT and ultrasonography. South Med J 1982; 75: 1275–1277.
Scatarige J C, Fishman E K, Jones B, et al: Gastric leiomyosarcoma: CT observations. J Comput Assist Tomogr 1985; 9: 320–327.
Clark R A, Alexander E S: Computed tomography of gastrointestinal leiomyosarcoma. Gastrointest Radiol 1982; 7: 127–129.
McLeod A J, Zornoza J, Shirakoda A: Leiomyosarcoma: Computed tomographic findings. Radiology 1980; 152: 133–136.
Rankin F W, Carson L M: Leiomyosarcoma of the rectum. Minnesota Med 1932; 15: 33–35.
Ranchod M, Kempson D L: Smooth muscle tumors of the gastrointestinal tract and retroperitoneum. Cancer 1977; 39: 255–262.
Salmela H: Smooth muscle tumors of the stomach: A clinical study of 112 cases. Acta Clin Scand 1968; 384–391.
Appelman H D, Helwig E B: Sarcomas of the stomach in 49 patients. Am J Clin Pathol 1977; 67: 2–10.
Bree R C, Green B: Gray scale sonographic appearance of intraabdominal mesenchymal sarcomas. Radiology 1978; 128: 193–197.
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© 1986 Springer-Verlag New York Inc.
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Megibow, A.J. (1986). Gastrointestinal Lymphoma, Leiomyoma, and Leiomyosarcoma. In: Meyers, M.A. (eds) Computed Tomography of the Gastrointestinal Tract. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-4882-8_3
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DOI: https://doi.org/10.1007/978-1-4612-4882-8_3
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