Five years of complete remission of gastric diffuse large B cell lymphoma after eradication of Helicobacter pylori infection.
Long term follow up data are not available for cases of diffuse large B cell gastric lymphoma treated by eradicating Helicobacter pylori alone. We present the case of an 82 year old man with diffuse large B cell lymphoma localised to the stomach which responded to H pylori eradication and which has not recurred after more than five years of close follow up. Our patient was not a candidate for other modalities of treatment. This case demonstrates that the option of treating H pylori infection as the initial trial of treatment for localised diffuse large B cell lymphoma is appropriate for consideration. If medical therapy using eradication of H pylori is used, it is essential that the patient undergoes close observation and repeated surveillance endoscopies.
Alsolaiman
M M
MM
Division of Gastroenterology, Albany Medical College, Albany, New York, USA.
Bakis
G
G
Nazeer
T
T
MacDermott
R P
RP
Balint
J A
JA
D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D016481:Helicobacter Infections / Q000150:complications* / Q000188:drug therapy*; D016480:Helicobacter pylori; D006801:Humans; D016393:Lymphoma, B-Cell / Q000188:drug therapy / Q000382:microbiology*; D016403:Lymphoma, Large B-Cell, Diffuse / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D012074:Remission Induction
D000900:Anti-Bacterial Agents