{"id":"https://openalex.org/W4403719100","doi":"https://doi.org/10.14309/01.ajg.0001050152.46930.80","title":"S5196 A Rare Case of Dysphagia as a Herald Sign of Gastric Diffuse Large B Cell Lymphoma","display_name":"S5196 A Rare Case of Dysphagia as a Herald Sign of Gastric Diffuse Large B Cell Lymphoma","publication_year":2024,"publication_date":"2024-10-01","ids":{"openalex":"https://openalex.org/W4403719100","doi":"https://doi.org/10.14309/01.ajg.0001050152.46930.80"},"language":"en","primary_location":{"id":"doi:10.14309/01.ajg.0001050152.46930.80","doi":"https://doi.org/10.14309/01.ajg.0001050152.46930.80","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0001050152.46930.80","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110984645","display_name":"Jason John","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799360765","display_name":"Thomas Jefferson University Hospital","ror":"https://ror.org/04zhhva53","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799360765","https://openalex.org/I4210114575"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jason John","raw_affiliation_strings":["Jefferson Health, Pennsauken, NJ;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jefferson Health, Pennsauken, NJ;","institution_ids":["https://openalex.org/I2799360765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110146361","display_name":"Brian Blair","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799360765","display_name":"Thomas Jefferson University Hospital","ror":"https://ror.org/04zhhva53","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799360765","https://openalex.org/I4210114575"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brian Blair","raw_affiliation_strings":["Jefferson Health, Cherry Hill, NJ;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jefferson Health, Cherry Hill, NJ;","institution_ids":["https://openalex.org/I2799360765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042417769","display_name":"Lucy M. Joo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799360765","display_name":"Thomas Jefferson University Hospital","ror":"https://ror.org/04zhhva53","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799360765","https://openalex.org/I4210114575"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lucy Joo","raw_affiliation_strings":["Jefferson Health, Cherry Hill, NJ;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jefferson Health, Cherry Hill, NJ;","institution_ids":["https://openalex.org/I2799360765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003331330","display_name":"Andrew R. Dargan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799360765","display_name":"Thomas Jefferson University Hospital","ror":"https://ror.org/04zhhva53","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799360765","https://openalex.org/I4210114575"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew Dargan","raw_affiliation_strings":["Thomas Jefferson University Hospital, Philadelphia, PA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Thomas Jefferson University Hospital, Philadelphia, PA;","institution_ids":["https://openalex.org/I2799360765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112880382","display_name":"Christopher Chhoun","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799360765","display_name":"Thomas Jefferson University Hospital","ror":"https://ror.org/04zhhva53","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799360765","https://openalex.org/I4210114575"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher Chhoun","raw_affiliation_strings":["Jefferson Health, Cherry Hill, NJ;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jefferson Health, Cherry Hill, NJ;","institution_ids":["https://openalex.org/I2799360765"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5015613174","display_name":"Neethi R. Dasu","orcid":"https://orcid.org/0000-0002-1343-1948","observed_orcids":["https://orcid.org/0000-0002-1343-1948"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Neethi Dasu","raw_affiliation_strings":["Beth Israel Lahey Health, Burlington, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Beth Israel Lahey Health, Burlington, MA","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5110984645"],"corresponding_institution_ids":["https://openalex.org/I2799360765"],"apc_list":{"value":4390,"currency":"USD","value_usd":4390},"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"119","issue":"10S","first_page":"S3252","last_page":"S3253"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10185","display_name":"Lymphoma Diagnosis and Treatment","score":0.9878000020980835,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10185","display_name":"Lymphoma Diagnosis and Treatment","score":0.9878000020980835,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10696","display_name":"Gastric Cancer Management and Outcomes","score":0.0032999999821186066,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12212","display_name":"CNS Lymphoma Diagnosis and Treatment","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diffuse-large-b-cell-lymphoma","display_name":"diffuse large B-cell lymphoma","score":0.902999997138977},{"id":"https://openalex.org/keywords/gastric-lymphoma","display_name":"gastric lymphoma","score":0.8960000276565552},{"id":"https://openalex.org/keywords/dysphagia","display_name":"dysphagia","score":0.9459999799728394},{"id":"https://openalex.org/keywords/regurgitation","display_name":"regurgitation","score":0.8140000104904175},{"id":"https://openalex.org/keywords/esophageal-involvement","display_name":"esophageal involvement","score":0.6370000243186951},{"id":"https://openalex.org/keywords/upper-gastrointestinal-obstruction","display_name":"upper gastrointestinal obstruction","score":0.6100000143051147},{"id":"https://openalex.org/keywords/macrocytic-anemia","display_name":"macrocytic anemia","score":0.7170000076293945},{"id":"https://openalex.org/keywords/upper-endoscopy","display_name":"upper gastrointestinal endoscopy","score":0.8289999961853027},{"id":"https://openalex.org/keywords/non-hodgkin-lymphoma","display_name":"non-Hodgkin lymphoma","score":0.777999997138977},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.8100000023841858},{"id":"https://openalex.org/keywords/cd20","display_name":"CD20","score":0.5170000195503235},{"id":"https://openalex.org/keywords/bcl6","display_name":"BCL6","score":0.8619999885559082},{"id":"https://openalex.org/keywords/cd10","display_name":"CD10","score":0.9070000052452087},{"id":"https://openalex.org/keywords/bcl-2","display_name":"Bcl-2","score":0.8669999837875366},{"id":"https://openalex.org/keywords/immunohistochemistry","display_name":"immunohistochemistry","score":0.6169999837875366}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9544398188591003},{"id":"https://openalex.org/C139676723","wikidata":"https://www.wikidata.org/wiki/Q1193832","display_name":"Sign (mathematics)","level":2,"score":0.6807594299316406},{"id":"https://openalex.org/C2780596822","wikidata":"https://www.wikidata.org/wiki/Q623289","display_name":"Dysphagia","level":2,"score":0.6541507244110107},{"id":"https://openalex.org/C2778559949","wikidata":"https://www.wikidata.org/wiki/Q2626074","display_name":"Diffuse large B-cell lymphoma","level":3,"score":0.614342451095581},{"id":"https://openalex.org/C2779338263","wikidata":"https://www.wikidata.org/wiki/Q208414","display_name":"Lymphoma","level":2,"score":0.5059403777122498},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.3906942307949066},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.3296118974685669},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.286496102809906},{"id":"https://openalex.org/C134306372","wikidata":"https://www.wikidata.org/wiki/Q7754","display_name":"Mathematical analysis","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.14309/01.ajg.0001050152.46930.80","doi":"https://doi.org/10.14309/01.ajg.0001050152.46930.80","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0001050152.46930.80","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2977941986","https://openalex.org/W3094447669","https://openalex.org/W3210429552","https://openalex.org/W2977759436","https://openalex.org/W7114808266","https://openalex.org/W2980057763","https://openalex.org/W4315785075","https://openalex.org/W4390675792","https://openalex.org/W4417251561","https://openalex.org/W2582592650"],"abstract_inverted_index":{"Introduction:":[0],"Diffuse":[1],"large":[2,49,162,205,385],"B-cell":[3,50,206],"lymphoma":[4,17,207,325],"(DLBCL)":[5],"of":[6,15,47,71,80,93,102,113,120,127,190,243,273,303,306,375,395],"the":[7,128,139,143,168,183,196,239,244,246,293,297,319,351,402],"stomach":[8,199],"is":[9,326,342],"a":[10,45,68,110,161,187,250,315,327],"rare":[11,328],"and":[12,40,58,78,116,130,164,172,192,198,221,241,266,281,308,331,337,355,365,398,406],"aggressive":[13],"type":[14,391],"non-Hodgkin":[16],"originating":[18],"from":[19,176,182,292],"gastric":[20,25,51,140,324,357],"lymphatic":[21],"tissue.":[22],"Patients":[23],"with":[24,29,56,67,109,132,186,212,279,334,363],"DLBCL":[26,290],"typically":[27],"present":[28],"nonspecific":[30],"gastrointestinal":[31,321],"symptoms,":[32],"which":[33,159,225],"can":[34],"include":[35],"abdominal":[36],"pain,":[37],"nausea,":[38,72],"vomiting,":[39],"weight":[41,75],"loss.":[42],"We":[43],"report":[44],"case":[46,349],"diffuse":[48,204,384],"Lymphoma":[52],"who":[53],"initially":[54],"presented":[55,66,278],"dysphagia":[57,77,280],"recurrent":[59,304],"regurgitation.":[60],"Case":[61],"Description/Methods:":[62],"An":[63],"83-year-old":[64],"woman":[65],"2-month":[69],"history":[70,92,101],"unintentional":[73],"15-pound":[74],"loss,":[76],"regurgitation":[79,305],"swallowed":[81],"food":[82,193,307],"or":[83,99,255],"liquids":[84],"following":[85],"meals.":[86],"The":[87],"patient":[88,247,277,346],"had":[89],"no":[90],"prior":[91],"endoscopic":[94,253,257],"examinations,":[95],"denied":[96],"tobacco":[97],"use":[98],"family":[100],"malignancy.":[103],"Laboratory":[104],"workup":[105],"revealed":[106],"macrocytic":[107],"anemia":[108],"hemoglobin":[111],"level":[112],"11.3":[114],"g/dL":[115],"Mean":[117],"corpuscular":[118],"volume":[119],"101.6":[121],"fL.":[122],"A":[123],"Computed":[124],"tomography":[125],"scan":[126],"abdomen":[129],"pelvis":[131],"Intravenous":[133],"contrast":[134],"showed":[135,222,383],"mass-like":[136],"thickening":[137],"at":[138],"fundus":[141],"abutting":[142],"gastroesophageal":[144,376],"junction":[145],"(GEJ),":[146],"measuring":[147],"2.0":[148],"cm":[149,178,181,288],"in":[150,195,353,360],"thickness.":[151],"Following":[152],"these":[153],"findings,":[154],"an":[155,286],"Esophagogastroduodenoscopy":[156],"was":[157,248,267,282],"performed,":[158],"demonstrated":[160],"ulcerated":[163,397],"fungating":[165,399],"mass":[166,377,400],"involving":[167,340,401],"distal":[169,294,403],"esophagus,":[170,404],"GEJ,":[171,405],"proximal":[173,298,407],"stomach,":[174],"extending":[175,291],"37":[177],"to":[179,238,269,284,314,344],"55":[180],"incisors,":[184],"along":[185],"moderate":[188],"amount":[189],"liquid":[191,309],"debris":[194],"esophagus":[197,295],"(Figure":[200],"1).":[201],"Histopathology":[202],"confirmed":[203],"(DLBCL),":[208],"germinal":[209,389],"center":[210,390],"type,":[211],"focal":[213],"lymph":[214,380],"node":[215,381],"involvement.":[216],"Immunohistochemical":[217],"stains":[218],"were":[219,226],"performed":[220],"malignant":[223,373],"lymphocytes":[224,374],"positive":[227,234],"for":[228,235,252,271],"CD20,":[229],"BCL6,":[230],"CD10,":[231],"weakly":[232],"patchy":[233],"Bcl-2.":[236],"Due":[237],"size":[240],"distribution":[242],"mass,":[245],"not":[249],"candidate":[251],"stenting":[254],"percutaneous":[256],"gastrostomy":[258],"(PEG)":[259],"placement.":[260],"She":[261],"underwent":[262],"surgical":[263],"jejunostomy":[264],"placement":[265],"referred":[268],"oncology":[270],"initiation":[272],"chemotherapy.":[274],"Discussion:":[275],"Our":[276],"found":[283],"have":[285],"18":[287],"infiltrating":[289],"into":[296],"stomach.":[299,408],"Her":[300],"primary":[301],"issue":[302],"after":[310],"meals":[311],"further":[312],"pointed":[313],"potential":[316],"obstruction":[317],"within":[318],"upper":[320,335],"tract.":[322],"Primary":[323],"clinical":[329],"entity,":[330],"timely":[332],"diagnosis":[333],"endoscopy":[336],"appropriate":[338],"management":[339],"chemotherapy":[341],"essential":[343],"improve":[345],"outcomes.":[347],"This":[348],"highlights":[350],"challenges":[352],"diagnosing":[354],"managing":[356],"lymphoma,":[358,388],"especially":[359],"elderly":[361],"patients":[362],"complex":[364],"unique":[366],"presentations.Figure":[367],"1.:":[368],"(A):":[369],"H&E":[370],"stain":[371,382],"demonstrating":[372],"(B)":[378],"Perigastric":[379],"B":[386],"cell":[387],"(C)":[392],"Endoscopic":[393],"image":[394],"large,":[396]},"counts_by_year":[],"updated_date":"2026-10-02T10:15:12.560889","created_date":"2024-10-25T00:00:00"}