Primary Gastric Lymphoma of MALT: Considerations of Pathogenesis, Diagnosis and Therapy

Primary gastric lymphoma of mucosa-associated lymphoid tissue (MALT) is a distinct entity with its own histological classification. Epidemiological, histomorphological, molecular biological and experimental data clearly underline that infection of the gastric mucosa by Helicobacter pylori plays an i...

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Main Author: Wolfgang Fischbach
Format: Article
Language:English
Published: Wiley 2000-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2000/436854
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author Wolfgang Fischbach
author_facet Wolfgang Fischbach
author_sort Wolfgang Fischbach
collection DOAJ
description Primary gastric lymphoma of mucosa-associated lymphoid tissue (MALT) is a distinct entity with its own histological classification. Epidemiological, histomorphological, molecular biological and experimental data clearly underline that infection of the gastric mucosa by Helicobacter pylori plays an important role in both the development and progression of MALT lymphoma. Considering the histological grade of malignancy and dissemination (stage) of the disease as decisive prognostic factors, and therapeutic determinants, endoscopic bioptical diagnosis and endoscopic ultrasound are of particular importance. In cases of localized (stage 1), low grade lymphoma, eradication of H pylori offers a promising and fascinating therapeutic option. Surgical resection, radiotherapy or chemotherapy, and their combination, have proven to be effective treatment modalities. There is a need to clarify whether operative or conservative therapeutic strategies should be favoured in the future.
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series Canadian Journal of Gastroenterology
spelling doaj-art-3b95ffa4b02b4cfcb7fb8e29631c272b2025-08-20T02:08:02ZengWileyCanadian Journal of Gastroenterology0835-79002000-01-0114Suppl D44D50D10.1155/2000/436854Primary Gastric Lymphoma of MALT: Considerations of Pathogenesis, Diagnosis and TherapyWolfgang Fischbach0Medizinische Klinik II, Klinikum Aschaffenburg, Am Hasenkopf, Aschaffenburg, GermanyPrimary gastric lymphoma of mucosa-associated lymphoid tissue (MALT) is a distinct entity with its own histological classification. Epidemiological, histomorphological, molecular biological and experimental data clearly underline that infection of the gastric mucosa by Helicobacter pylori plays an important role in both the development and progression of MALT lymphoma. Considering the histological grade of malignancy and dissemination (stage) of the disease as decisive prognostic factors, and therapeutic determinants, endoscopic bioptical diagnosis and endoscopic ultrasound are of particular importance. In cases of localized (stage 1), low grade lymphoma, eradication of H pylori offers a promising and fascinating therapeutic option. Surgical resection, radiotherapy or chemotherapy, and their combination, have proven to be effective treatment modalities. There is a need to clarify whether operative or conservative therapeutic strategies should be favoured in the future.http://dx.doi.org/10.1155/2000/436854
spellingShingle Wolfgang Fischbach
Primary Gastric Lymphoma of MALT: Considerations of Pathogenesis, Diagnosis and Therapy
Canadian Journal of Gastroenterology
title Primary Gastric Lymphoma of MALT: Considerations of Pathogenesis, Diagnosis and Therapy
title_full Primary Gastric Lymphoma of MALT: Considerations of Pathogenesis, Diagnosis and Therapy
title_fullStr Primary Gastric Lymphoma of MALT: Considerations of Pathogenesis, Diagnosis and Therapy
title_full_unstemmed Primary Gastric Lymphoma of MALT: Considerations of Pathogenesis, Diagnosis and Therapy
title_short Primary Gastric Lymphoma of MALT: Considerations of Pathogenesis, Diagnosis and Therapy
title_sort primary gastric lymphoma of malt considerations of pathogenesis diagnosis and therapy
url http://dx.doi.org/10.1155/2000/436854
work_keys_str_mv AT wolfgangfischbach primarygastriclymphomaofmaltconsiderationsofpathogenesisdiagnosisandtherapy