Correlation of Endoscopic Findings of Gastric Mucosa-Associated Lymphoid Tissue Lymphoma with Recurrence after Complete Remission.
- Author:
Chang Min LEE
1
;
Dong Ho LEE
;
Byung Kyu AHN
;
Jae Jin HWANG
;
Hyuk YOON
;
Young Soo PARK
;
Cheol Min SHIN
;
Nayoung KIM
Author Information
- Publication Type:Original Article
- Keywords: Endoscopy; Familial primary gastric lymphoma; Lymphoma, B-cell, marginal zone; Recurrence
- MeSH: Adult; Biopsy; Cohort Studies; Endoscopy; Follow-Up Studies; Humans; Kaplan-Meier Estimate; Lymphoid Tissue; Lymphoma; Lymphoma, B-Cell, Marginal Zone*; Medical Records; Recurrence*; Retrospective Studies; Ulcer
- From:Clinical Endoscopy 2017;50(1):51-57
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND/AIMS: In gastric mucosa-associated lymphoid tissue (MALT) lymphoma, the clinical significance of various endoscopic findings has not yet been determined. This study aimed to compare the time to complete remission (CR) and relapse-free survival (RFS) in gastric MALT lymphoma based on endoscopic findings. METHODS: In this single-center retrospective cohort study, the medical records of 122 consecutive adult patients with gastric MALT lymphoma were collected over a period of 12 years. CR was defined by the absence of macroscopic or microscopic features of lymphoma on two subsequent follow-ups. Relapse was clinically defined by a positive endoscopic biopsy after CR. RESULTS: The median time to CR did not differ significantly between treatment methods. However, it was significantly longer in the group with polypoid endoscopic appearance than in the groups with diffuse infiltration or ulceration (7.83, 3.43, and 3.10 months, respectively; p=0.003). Six patients relapsed after CR. Kaplan-Meier analysis showed that RFS differed significantly between groups based on Ann Arbor staging, treatment methods, and initial endoscopic findings. CONCLUSIONS: In gastric MALT lymphoma, the endoscopically defined polypoid type was characterized by a longer duration to CR, with a higher likelihood of recurrence, compared to the endoscopically defined diffuse infiltration or ulceration types.
