Question:
How is staging and tx of gastric lymphoma?
Author: H KAnswer:
STAGING (ANN ARBOR CLASSIFICATION) Stage I: Disease limited to stomach Stage II: Spread to abdominal lymph nodes Stage III: Spread to lymph nodes above and below the diaphragm Stage IV: Disseminated lymphoma TREATMENT MALT (low grade)—Treat H. pylori. MALT (high grade) or non-MALT—Radiation/chemo Resection reserved for patients with bleeding or perforation PROGNOSIS Poor prognostic factors include: Involvement of the lesser curvature of the stomach Large tumor size Advanced stage
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