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Correspondence
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Volume 336:1529-1530 May 22, 1997 Number 21
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A Pitfall in Assessing Gastric Lymphoma after Eradication of Helicobacter pylori

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To the Editor: Various studies have suggested an important role for Helicobacter pylori infection in the pathogenesis of low-grade gastric mucosa-associated lymphoid tissue (MALT) lymphoma. These lymphomas may regress after eradication of H. pylori by antibiotics.1,2,3 We describe a patient in whom regression of a large infiltrating low-grade gastric lymphoma after antibiotic treatment was documented pathologically, although the macroscopic appearance of the tumor had not changed.

A 39-year-old woman with a short history of epigastric pain was admitted to our clinic in September 1993. Endoscopy revealed a 3-cm-by-2-cm polypoid lesion in the gastric fundus (Figure 1A). Biopsy specimens . . . [Full Text of this Article]

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