Gastric MALT-Lymphoma: more than Helicobacter Pylori.

G Van de Vyver, T Vandamme, P H Steger, D Staessen

Acta gastro-enterologica Belgica 2021 Oct-Dec

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In this case report, we describe two cases of gastric mucosaassociated lymphoid tissue (MALT) lymphoma. The first patient, who presented with complaints of indigestion, nausea and epigastralgy, had a solid ulcer on endoscopy. Biopsies showed, next to MALT, presence of Helicobacter Pylori. The second patient was admitted with hematemesis. The multiple ulcerations in his stomach were thought to be cocaine-induced. Only after multiple biopsies the diagnosis of MALT was made. No presence of Helicobacter Pylori could be detected. The first patient was successfully treated with Helicobacter Pylori eradication therapy. Localized radiotherapy resulted in complete remission in our second patient. Hence, in absence of Helicobacter Pylori, more aggressive treatment modalities are needed. © Acta Gastro-Enterologica Belgica.

Citation

G Van de Vyver, T Vandamme, P H Steger, D Staessen. Gastric MALT-Lymphoma: more than Helicobacter Pylori. Acta gastro-enterologica Belgica. 2021 Oct-Dec;84(4):657-659