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Topics:
Hematologic Malignancies • Radiation Oncology • Internal Medicine • Rheumatology • Hematology
How would you approach a patient with gastric MALT lymphoma who has CREST syndrome?
Would chemotherapy be preferred over RT?
Answer from: Radiation Oncologist at Academic Institution
The quick answer is, very carefully. To elaborate - I first had to look up what CREST syndrome is - the short answer is limited extent scleroderma, usually the distal upper and lower extremities, but occasionally the head and neck region and most relevant to this question, the esophagus. The literat...
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Answer from: Radiation Oncologist at Community Practice
I would try antibiotics like any other MALT and if persists, then would favor 2 Gy X 2 to see if sufficient like other site MALT lymphoma. If persists, then favor other non RT options.