Is gastroscopy still a valid diagnostic tool in detecting gastric MALT lymphomas?

Abstract

Although the impact of gastroscopy as a diagnostic tool in the patients of our study was of limited value, due to the nonspecific gross pattern of gastric MALT lymphomas, it should be maintained in the diagnostic intervention of the upper GI tract pathologies.

Clinical manifestations and endoscopic presentations of gastric lymphoma: a multicenter seven year retrospective survey

“…With regard to endoscopic findings, the most common pattern of the gastric lymphoma in the pathology confirmed subgroup (positive group) and endoscopy non-suspected group was the ulcerative type. This is also consistent with several recent studies (13,16,17). Unfortunately, the main macroscopic pattern of suspected gastric lymphoma in the pathology non-suspected subgroup was the infiltrative type (49.4%) and the ulcerative type was less frequent (42.1%).…”

“…Kelessis et al (17) reported similar results, with a sensitivity of 61% for malignancy and only 27% for non-Hodgkin's lymphoma. This phenomenon may be caused by the submucosal growth of the lesion, necrotic material taken during biopsy, inadequate amounts of specimen or inadvertent sampling resulting from a crush (17,20).…”

Role of the Endoscopic Ultrasonography in the Management of Gastric Lymphomas: Our Experience and Review of Literature

“…These lesions are more frequent at antrum and gastric body (77%) respect to the fundus (8%), and only in 15% of cases they occur diffusely. On the whole, three main patterns could be detected using gastroscopy (Kelessis et al, 2003): 1. Ulcerative (28-85%); 2.…”

Estudio del beneficio clínico y de coste-efectividad tras efectuar sistemáticamente una segunda gastroscopia en la úlcera gástrica benigna

“…Lógicamente, todo resultado del 100% debe interpretarse con precaución y tan sólo refleja lo obtenido en una serie concreta de pacientes. Tanto la literatura médica como nuestra experiencia acumulada muestran casos en los que han sido necesarias más de dos exploraciones para poder llegar a un diagnóstico correcto en las lesiones ulceradas, especialmente en los linfomas gástricos 20,[30][31][32] . En cualquier caso, observamos que en nuestra serie la segunda exploración sistemática mejora significativamente los resultados de la primera y, por tanto, es rentable en cuanto al beneficio clínico obtenido y se aconseja su realización.…”