Volume 84 - 2021 - Fasc.4 - Case series
Gastric MALT-Lymphoma: more than Helicobacter Pylori
In this case report, we describe two cases of gastric mucosaassociated
lymphoid tissue (MALT) lymphoma. The first patient,
who presented with complaints of indigestion, nausea and
epigastralgy, had a solid ulcer on endoscopy. Biopsies showed,
next to MALT, presence of Helicobacter Pylori. The second
patient was admitted with hematemesis. The multiple ulcerations
in his stomach were thought to be cocaine-induced. Only after
multiple biopsies the diagnosis of MALT was made. No presence
of Helicobacter Pylori could be detected. The first patient was
successfully treated with Helicobacter Pylori eradication therapy.
Localized radiotherapy resulted in complete remission in our
second patient. Hence, in absence of Helicobacter Pylori, more
aggressive treatment modalities are needed.
Gastrointestinal tract involvement in hepatocellular carcinoma: two cases illustrating duodenal and oesophageal invasion
We present here two hepatocellular carcinoma (HCC) patients with gastrointestinal tract involvement (GITI). Hemorrhage due to duodenal involvement was the inaugural event of the HCC for the first patient. Dysphagia due to HCC recurrence in the oesophagus four years after left hepatectomy was the call symptom for the second. As incidence of HCC increases, and overall survival improves, incidence of GITI in HCC patients is expected to increase.
