The treatment of Hodgkin's disease of stomach is ?

Ans. is 'd' i.e. None of the above Lymphoma is the second most common gastric malignancy after carcinoma stromach. It is of two types - Primary & Secondary Primary gastric lymphoma is mainly (>95%) Non-Hodgkins type. Most of the primary lymphomas (about 60%) arise in MALT (mucosa associated lymphoid tissue). MALT is usually associated with chronic H. pylori infection. So low-grade MALT lymphomas are thought to arise because of chronic H. pylori infection. These low grade lymphomas may later on degenerate to high grade lymphomas. Secondary Stomach is the most common extranodal site of systemic lymphoma. Almost all of them are Non-Hodgkins types Hodgkin's disease involving the stomach is extremely uncommon. Note that treatment of primary high grade lymphoma is controversial. There are slightly different opinions in Schwaz, Harrison & CMDT.