Case Report
Year: 2019 | Month: May | Volume: 9 | Issue: 5 | Pages: 456-458
A Bleeding Gastric Lesion: MALToma
Dr Pudale Sunil Kumar1, Dr Prabhu Vinod2, Dr Pathak Sudhanwa3, Dr Gorad Kedar4
1Junior Resident (General surgery), 2Professor and Head of Surgery Department, 3Surgical Gastroenterology Consultant, 4Associate Professor of Surgery Department,
Bharati Vidyapeeth Deemed to be University Medical College and Hospital, Sangli
Corresponding Author: Dr Pudale Sunil Kumar
ABSTRACT
We are reporting a case of bleeding gastric lesion which presented as massive bleeding from lesion and was confirmed by upper G.I endoscopy. Out of all the gastric tumors, lymphomas accounts up to 2 -4% and stomach is the commonest site for extranodal mucosa-associated lymphoid tissue MALToma that accounts to 40% of primary gastric lymphoma. Gastric MALT lymphoma reaches its peak incidence between 50 to 60 years of age; therefore, it is rare. The development of MALT lymphoma temporarily depends on antigen stimulation of Helicobacter pylori. More than 90 % of MALT lymphoma patients are positive for Helicobacter pylori antibodies, but the positivity on biopsy is present only in 60 % of them. Antibiotic therapy in Helicobacter pylori infection may lead to complete regression of the localized primary gastric lymphoma of the MALT type without any anti-tumour therapy.
Key words: Lymphoma, MALToma, Helicobacter pylori,