The following are true regarding primary gastric lymphoma except:

A. B symptoms are very rare.

B. H. pylori is implicated especially in MALT type

C. Mostly of B cell origin

D. Clinically can be easily differentiated from gastric adenocarcinoma by the presence of early satiety and prominent lymph node metastases.

Correct Answer: Clinically can be easily differentiated from gastric adenocarcinoma by the presence of early satiety and prominent lymph node metastases.

Description: GASTRIC LYMPHOMA Stomach is MC site for lymphoma in the GIT MC gastric lymphoma is diffuse large B-cell lymphoma (55%) >extranodal marginal cell lymphoma (MALT) (40%) > Burkitts lymphoma (3%) > mantle cell and follicular lymphomas. Clinical Features: Vague symptoms, namely epigastric painQ, early satiety, and fatigue. B symptoms are very rare. Diagnosis: Endoscopy: Nonspecific gastritis or gastric ulcerations, with mass lesions being unusual.

Category: Surgery

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