Atlas of Gastroenterological Endoscopy
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MALToma - extensive disease
MALToma A huge infiltration by a MALToma is visible (high-grade malignant B-cell lymphoma stage IV) with signs of hemorrhage. The surface of the lymphoma is nodular and soft ulcerations are to be found at the periphery of the lesion. The tumor fills up nearly the complete stomach. Classification and stages of lymphoma see tables Musshoff staging of gastrointestinal lymphoma and Fischbach classification of gastrointestinal lymphoma.
MALToma after chemotherapy
MALToma MALToma Both pictures show a gastric lymphoma. Since the patient could not tolerate a polychemotherapy an oral treatment of 50 mg of cyclophosphamide was instituted. The left picture was taken prior to chemotherapy, the right picture after a few months of treatment. A good partial remission is documented.
MALToma - generalized
MALToma This patient showed, like is depicted in this photo, not only a gastric maltoma, but also manifestations in the sigma and in the duodenum. In this case the disease is classified as generalized maltoma.