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Successful Treatment of Helicobacter Pylori-Negative Gastric MALT Lymphoma With Rituximab
Authors:Nadeem Chaudhary MD  Howard Ozer  David Huard MD  Stan Lightfoot MD  Sikandar Mesiya MD
Affiliation:(1) Divisions of Gastroenterology and Oncology, Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA;(2) Divisions of Gastroenterology and Oncology, Department of Radiology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA;(3) Divisions of Gastroenterology and Oncology, Department of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA;(4) Digestive Disease Specialists Inc., Oklahoma City, Oklahoma, USA;(5) Digestive Disease Specialists Inc., M.D. Medical Tower, 8121 National Ave, Suite 303, Midwest City, OK, 73110
Abstract:Helicobacter pylori infection is strongly associated with low-grade gastric lymphoma, commonly known as mucosa-associated lymphoid tissue (MALT) lymphoma. H. pylori eradication leads to complete remission in 80% of early stage MALT lymphomas. The treatment for early stage H. pylori-negative gastric MALT lymphoma is evolving. Rituximab, a chimeric anti-CD20 antibody, has shown response rates of approximately 50% with minimal toxicity in patients with B-cell non-Hodgkin lymphoma. We describe herein the clinical, endoscopic, and histologic features of a patient with H. pylori-negative gastric MALT lymphoma treated successfully with rituximab.
Keywords:gastric mucosal associated lymphoid tissue (MALT) lymphoma  Helicobacter pylori (H. pylori)  rituximab
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