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Surgery Stomach & Duodenum 654799d5

All of the following are treatment modalities for gastric lymphoma except:

A
Chemotherapy for primary gastric lymphoma
B
Chemotherapy for secondary gastric lymphoma
C
Antibiotic treatment for H. pylori in low grade MALToma
D
Radical subtotal gastrectomy for locally advanced disease
High-Yield Explanation
Ans. (d) Radical subtotal gastrectomy for locally advanced diseaseRef: Sabiston 20th edition, Page 1228Treatment of lymphomas in stomach:* Most Lymphomas are treated with multimodality treatment* CHOP therapy is the chemotherapy commonly used* Chemotherapy alone is enough for early cases* Diffuse advanced cases are not amenable for surgery and palliative chemotherapy alone is given.* Indications for surgery in Lymphoma are:# Limited gastric disease# Recurrence# Complications like bleeding, obstruction and perforation

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