Gastric and small bowel lymphomas Flashcards
what is the most common form of lymphoma in the stomach
Non-Hodgkins lymphoma of B-cells
why is it important to differentiate between gastric adenocarcinoma and gastric lymphoma?
lymphomas have a better prognosis and different treatment
what bacteria are these cancers associated with?
helicobacter pylori
what is the treatment for early MALTomas?
H.pylori eradication may actually resolve the MALToma but this is only early on.
what are the symptoms of lymphomas in the small intestines?
produce bulky lesions –>
- obstruction
- ulcerate
- bleed
- perforation
- play a focal point for intussusception
what is the treatment for gastric lymphomas?
primary chemotherapy: CHOP regimen
(may add on rituximab)
sub-total gastrectomy: bleeding or perforation
what is the treatment for small intestine lymphoma?
often localised therefore can be excised
post-op radio/chemotherapy
what condition can increase the likelihood of small intestine lymphoma?
coeliac disease
