Regression of MALT lymphomas coexisting in the duodenal bulb and the stomach by eradication of Helicobacter pylori.

We report the regression of coexisting mucosa-associated lymphoid tissue (MALT) lymphomas in the duodenal bulb and gastric corpus brought about by Helicobacter pylori eradication. During an endoscopic examination, multiple polyps in the duodenal bulb were observed in a 62-year-old woman. The patholo...

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Publicado en:Journal of Gastroenterology Vol. 37; no. 4; pp. 288 - 293
Autores principales: Hori K, Nishigami T, Chiba T, Matsushima Y, Kojima T, Hori, Kimiyuki, Nishigami, Takashi, Chiba, Tsutomu, Matsushima, Yumi, Kojima, Takane
Formato: case study pictorial Journal Article
Publicado: Springer Nature 2002
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2002
      vid: 37
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      pub: Springer Nature
      place: New York, New York
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        NLM11993513
        2002151474
        10.1007/s005350200037
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        106974264
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        atl: Regression of MALT lymphomas coexisting in the duodenal bulb and the stomach by eradication of Helicobacter pylori.
      aug:
        au:
          Hori K
          Nishigami T
          Chiba T
          Matsushima Y
          Kojima T
          Hori, Kimiyuki
          Nishigami, Takashi
          Chiba, Tsutomu
          Matsushima, Yumi
          Kojima, Takane
        affil: Hori Gastro-Intestinal Surgery Clinic, Noguchi, Kakogawa, Japan
      sug:
        subj:
          Lymphoma Etiology
          Helicobacter Pylori
          Helicobacter Infections Complications
          Helicobacter Infections Drug Therapy
          Disease Remission
          Duodenal Neoplasms Etiology
          Japan
          Endoscopy
          Biopsy
          Lymphoma Familial and Genetic
          Duodenal Neoplasms Familial and Genetic
          Antiulcer Agents Administration and Dosage
          Amoxicillin Administration and Dosage
          Clarithromycin Administration and Dosage
          Middle Age
          Female
          Middle Aged: 45-64 years
          Female
      ab: We report the regression of coexisting mucosa-associated lymphoid tissue (MALT) lymphomas in the duodenal bulb and gastric corpus brought about by Helicobacter pylori eradication. During an endoscopic examination, multiple polyps in the duodenal bulb were observed in a 62-year-old woman. The pathology of the duodenal polyps was low-grade B-cell MALT lymphoma. Gastric MALT lymphoma was also detected in biopsies of rough mucosa from the gastric corpus. Southern blot analysis showed rearranged bands of DNA immunoglobulin heavy chain J portion (IgH-J) in both lesions, but the positions of these bands were different in the two lesions. H. pylori was recognized in the gastric mucosa by positive serum H. pylori antibody and urease tests, while bacterial bodies were not found in the duodenal bulb. With 1 year after the successful eradication of H. pylori, both the lesions, that in the duodenal bulb and that in the gastric corpus, had disappeared. Furthermore, positive rearrangement of IgH-J was not found at either of the lesion sites. In May 2000, 3 years after the treatment, endoscopic surveillance failed to find any recurrence of these malignant lymphomas.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        Journal Article
      ougenre: Article
    language: English
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