COMMENTARY

Gastrointestinal cancer

Diagnosis, treatment decisions, and follow up in primary gastric lymphoma

H Boot, D de Jong

Department of Gastroenterology and Pathology, Antoni van Leeuwenhoek Hospital, Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, the Netherlands

Correspondence to:
Correspondence to:
Dr H Boot;
h.boot@nki.nl

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Endoscopic ultrasound is inferior to histology for follow up of patients with primary gastric lymphoma after organ conserving strategies

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Keywords: endosonography; mucosa associated lymphoid tissue; gastric lymphoma

The first 150 words of the full text of this article appear below.

In this issue of Gut, Püspök and colleagues¹ highlight the follow up in patients with primary gastric lymphoma after various stomach conserving therapies: Helicobacter pylori eradication, chemotherapy, radiotherapy, or combinations thereof [see page 691]. Endoscopic ultrasound (EUS) findings were compared with histology and showed that a complete histological remission occurred earlier and more often than an EUS defined remission. Were these results to be expected when treatment response is followed? What are the implications of this study for daily practice?

In the recently formalised WHO classification,² gastric lymphoma is considered as the "disease entity" of marginal zone lymphoma (mucosa associated lymphoid tissue (MALT)-type) with a characteristic morphological spectrum, immunological marker pattern, and discriminative chromosomal aberrations. In the past, these lymphomas were often described as low grade (gastric) MALT lymphomas. High grade (MALT) lymphomas are not a separate entity in the WHO classification but are classified as . . . [Full text of this article]

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Endoscopic ultrasound in the follow up and response assessment of patients with primary gastric lymphoma

A Püspök, M Raderer, A Chott, B Dragosics, A Gangl, and R Schöfl
Gut 2002 51: 691-694. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

• Bacon, C. M, Du, M.-Q., Dogan, A. (2007). Mucosa-associated lymphoid tissue (MALT) lymphoma: a practical guide for pathologists. J. Clin. Pathol. 60: 361-372 [Abstract] [Full Text]