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Gastric adenocarcinoma in a patient re-infected with H. pylori after regression of MALT lymphoma with successful anti-H. pylori therapy and gastric resection: a case report

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Author(s): Ghoshal Uday | Guha Debashish | Bandyopadhyay Santu | Pal Chiranjib | Chakraborty Srikanta | Ghoshal Ujjala | Ghosh Tamal | Pal Bhaskar | Banerjee Prabir

Journal: BMC Gastroenterology
ISSN 1471-230X

Volume: 2;
Issue: 1;
Start page: 6;
Date: 2002;
Original page

ABSTRACT
Abstract Background Helicobacter pylori (H. pylori) has been etiologically linked with primary gastric lymphoma (PGL) and gastric carcinoma (GC). There are a few reports of occurrence of both diseases in the same patient with H. pylori infection. Case presentation We report a patient with PGL in whom the tumor regressed after surgical resection combined with eradication of H. pylori infection. However, he developed GC on follow up; this was temporally associated with recrudescence / re-infection of H. pylori. This is perhaps first report of such occurrence. Conclusions Possible cause and effect relationship between H. pylori infection and both PGL and GC is discussed. This case also documents a unique problem in management of PGL in tropical countries where re-infection with H. pylori is supposed to be high.

Tango Jona
Tangokurs Rapperswil-Jona

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