[Bleeding gastric lymphoma: report of two cases].
We report two cases of bleeding gastric lymphoma. The stomach is the most common site of primary extranodal Non-Hodgkins Lymphomas. The best treatment for primary gastric lymphoma has not yet been defined. For many years the treatment of choice has been the gastric resection. Helicobacter pylori (H. pylori) has been associated with many gastric pathologies, including gastric lymphoma. Eradication of H. pylori is now considered essential for the treatment of this pathology, and usually consists of antibiotic therapy, combined with acid suppression by a proton pump inhibitor. This simple treatment in patients with low grade histology and tumor confined to the stomach can often obviate the need for surgical intervention. Surgery is a necessary treatment, independently of the grading and the staging of lymphoma, in the bleeding complication as the cases we showed.
Benfatto
G
G
Università degli Studi di Catania, Dipartimento di Chirurgia Generale, Sezione di Chirurgia Generale ed Oncologica.
Militello
C
C
Zanghì
G
G
Biondi
A
A
Licari
V
V
Fancello
R
R
Furci
M
M
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D016481:Helicobacter Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D016480:Helicobacter pylori; D006801:Humans; D008207:Lymphatic Metastasis; D016393:Lymphoma, B-Cell / Q000150:complications / Q000473:pathology / Q000601:surgery*; D018442:Lymphoma, B-Cell, Marginal Zone / Q000150:complications / Q000473:pathology / Q000601:surgery*; D008551:Melena / Q000209:etiology; D054328:Proton Pump Inhibitors; D013270:Stomach / Q000473:pathology; D013274:Stomach Neoplasms / Q000150:complications / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D013997:Time Factors
D000900:Anti-Bacterial Agents; D054328:Proton Pump Inhibitors