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RT of Gastric Lymphomas

• Marginal Zone Lymphoma (MZL)

– Most common

– RT is the standard treatment in North America for

“H. Pylori-

independent”

Gastric MZL (or “MALT”)

– H. pylori –not present

– H. pylori responded to antibiotics, but MZL persists for a long time

– H. pylori resistant to multiple antibiotics, MZL persists

– Failure of antibiotics - MZL progression

– Failure of antibiotics - difficult symptoms

Diffuse Large B-Cell Lymphoma

(many are transformed

MZL)

– RT consolidation after R-CHOP induced CR