Alternatives in the Management of Gastric Lymphoma

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Abstract
Advances in endoscopic technology now enable non-surgical diagnosis of gastric lymphoma, while combination chemotherapy and modern radiotherapy techniques offer an alternative to gastrectomy as the primary treatment of gastric lymphoma. Cumulative data challenge the traditional concept that non-operative treatment of gastric lymphoma often leads to fatal complications, such as perforation and hemorrhage. The reported risk of major side effects is reviewed and the alternative approaches to the management of gastric lymphoma are analyzed. In addition, pathologic considerations unique to lymphomatous involvement of the stomach are discussed.