Kalogeropoulos I.,General Hospital Evagelismos |
Lazarioti F.,General Hospital Evagelismos |
Skabardoni M.,General Hospital Evagelismos |
Skouras I.,General Hospital Evagelismos |
Piperopoulos P.,General Hospital Evagelismos
Cancer Therapy | Year: 2010
The purpose of our study is to present the commonest radiological findings of gastric lymphomas in double contrast barium meal in correlation with Helicobacter pylori infection and pathological findings. Gastric MALT lymphoma has been diagnosed in 15 patients (9 men and 6 women) at our institution during the last two years (2007-2008). Histology specimens were taken by biopsy during endoscopy or surgery. Ten of them have undergone double contrast barium meal examination. The clinical symptomatology included epigastric pain (80%), anorexia (14%) and gastrointestinal hemorrhage (7%). The barium meal contrast examination findings included ulcers (shallow or deep) mass with or without ulcer, mucosal fold thickening, nodularity of the mucosa, enlarged areae gastricae as in gastritis. The results of the biopsies showed that 13 patients had lesions in the fundus of the stomach and 2 of them in the duodenal bulb. Eleven patients proved to have low grade lymphoma and 4 had high grade lymphoma. Eleven out of fifteen patients were infected by Helicobacter pylori and 10 of them had multiple MALT lesions, fact that reveals a strong correlation between MALT lymphoma and H. Pylori infection. Considering the fact that low grade MALT lymphomas have a very good prognosis if diagnosed in time, revealing radiological manifestations at earlier stages is very important.