Abstract

ABSTRACT:
BACKGROUND:
Primary Gastric Lymphoma is an uncommon malignancy among gastric malignancies. Histology of the Primary Gastric Lymphoma is varied and the extranodal marginal zone B-cells lymphoma is especially significant on account of its potential remission with antibiotic therapy.
OBJECTIVE:
To study the incidence, staging, clinical presentation, histological and management of Primary Gastric Lymphoma in the North of Iraq.
PATIENTS AND METHODS:
From January 1988 to February 2005, A total number of 534 patients operated as gastric tumors, 34 (4%) diagnosed as Primary Gastric Lymphoma. at the surgical departments of Erbil and Mousl teaching hospitals.
RESULTS:
Out of 34 Primary Gastric Lymphoma,24 cases (70.5%) were located in the distal part of the stomach the most common cell type was B-cell type non-Hodgkin's lymphoma,.
Surgery was the main method of treatment and followed by chemotherapy and radiotherapy. Helicobacter pylori were isolated from all 34 Patients.
All patients received antibiotics for eradication for H. Pylori infection for 4-6 weeks.
Long-term remission were induced in the low-grade MALT lymphomas in 73% of cases by the successful eradication of the H. pylori infection Operative mortality rates was12 %
CONCLUSION:
surgical intervention was confined to stage I&II while patients with stage III surgery was indicated mostly for complications like bleeding and perforation
Mucosa-associated lymphoid tissue tumor (MALT) had a better prognosis because it tends to be localized with a long survival period.