The treatment of choice for 40 yrs old man who is found on endoscopy and biopsy to have a gastric lymphoma would be:
|D||Wide local excision|
a. Gastric lymphoma may occur as an isolated neoplasm confined to the stomach.
b. It may also be a manisfestation of the widely spread infiltrative disease.
c. Anorexia and weight loss are most common symptoms.
d. Early satiety may also be a prominent symptom.
e. Satiety appears as neoplastic process involves and obstructs the lumen.
f. Bleeding is very unusual.
g. Definitive diagnosis is made by endoscopic biopsy.
h. Histolagical diagnosis is must to start the treatment.
i. The treatment of choice once a histologic diagnosis has been confirmed is radiation therapy.
j. The results of the radiation therapy is equal to that of gastric resections.
k. The radiation is choice of treatment because of the low morbidity.
l. Involvement of the stomach by genaralised lymphoma is radio plus chemotherapy.
m. B cell lymphomas are common in the stomach.
n. DLBCL is the most frequent subtype encountered.
o. Operative resections reserved for bulky lesions with gastric outlet obstruction.