Question 279 · LEK · Non-Hodgkin lymphoma
A 61-year-old female presented to the surgical ambulatory care unit with a diagnosed MALT lymphoma located near the cardia. The patient did not report any symptoms. The tumour was detected during screening tests. In this case the patient should:
- A. undergo total gastrectomy.
- B. undergo Helicobacter pylori eradication as it is the standard first-line treatment.
- C. remain under observation and have an abdominal CT performed in 3 months.
- D. undergo subtotal gastrectomy.
- E. undergo a bypass surgery due to the high probability of the tumour being inoperative and poor prognosis.
Hint
Think of the infection that drives most gastric MALT lymphomas and of the therapy that can induce remission in early disease.
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