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

Vetro, Calogero; Romano, Alessandra; Palumbo, Giuseppe A.; Bonanno, Giambattista; Raimondo, Francesco Di

doi:10.5772/25218

Cited by 2 publications

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“…The role of endoscopic ultrasonography (EUS) in the evaluation of patients with gastric lymphomas is not clearly established. 4 Some studies have demonstrated the value of EUS in assessing treatment response and follow-up for patients with gastric lymphoma. 4 We submit that with careful evaluation on initial diagnosis of gastric lymphoma, patients at high risk for treatment-related complications may be identified, possibly leading to modifications in the cytotoxic agents used (i.e., no rituximab until the second cycle of chemotherapy) or early surgical consultation.…”

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confidence: 99%

The Evolving Role of Surgery for Gastric Lymphoma: From Curative Resection to Surgical Management of Complications

Paulus

Fleming

Hendrix

et al. 2014

The American Surgeon™

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confidence: 99%

The Evolving Role of Surgery for Gastric Lymphoma: From Curative Resection to Surgical Management of Complications

Paulus

Fleming

Hendrix

et al. 2014

The American Surgeon™

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“…However, the importance of EUS in follow‐up evaluation is controversial . During the last decade, some reports have indicated the importance of EUS in evaluating the response to treatment and long‐term follow‐up of gastric lymphomas with limited disease and in patients with local‐advanced MALT lymphoma .…”

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confidence: 99%

Endoscopic ultrasonography in gastric lymphomas: appraisal on reliability in long‐term follow‐up

Vetro

Romano

Chiarenza

et al. 2011

Hematological Oncology

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The reliability of endoscopic ultrasonography (EUS) in follow-up management of gastric lymphomas has not been clearly validated. We conducted a retrospective analysis on 23 patients, 12 affected by mucosa-associated lymphoid tissue (MALT) lymphoma, eight by diffuse large B-cell lymphoma, and three by high-grade lymphoma with low-grade component, all treated with a stomach-conservative approach. One hundred and twenty matched evaluations with both EUS and endoscopy with biopsy (E-Bx) were performed, according to validated guidelines and clinical judgment. At a median follow-up of 87 months ranged between 9.5 and 166 months, the analysis of progression-free survival and disease-free survival showed a strict relationship between the persistence of EUS abnormalities and the clinical outcome in patients with MALT lymphoma (p = 0.0079; p = 0.02) but not in patients with high-grade lymphoma. In conclusion, EUS evaluation does not seem reliable in follow-up management of high-grade lymphomas, although it could have a great clinical impact in the management of MALT lymphoma.

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

Cited by 2 publications

References 57 publications

The Evolving Role of Surgery for Gastric Lymphoma: From Curative Resection to Surgical Management of Complications

The Evolving Role of Surgery for Gastric Lymphoma: From Curative Resection to Surgical Management of Complications

Endoscopic ultrasonography in gastric lymphomas: appraisal on reliability in long‐term follow‐up

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