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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