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Lymphomas that start or grow in the abdomen (belly) can cause swelling or pain in the abdomen. This could be from lymph nodes or organs, for example, the spleen or liver expanding, however it can also be caused by the build-up of large amounts of fluid.

Essential gastric lymphoma is a general term for a type of cancer that originates within the stomach. Around 90% of patients of essential gastric lymphoma are either mucosa associated lymphoid tissue (MALT) gastric lymphoma or diffuse large B-cell lymphoma (DLBCL) of the stomach [1].

Symptoms of Abdominal lymphoma

Symptoms may include unintended weight reduction, weakness, low levels of circulating red blood cells (iron deficiency), abdominal and/or back pain, loss of hunger (anorexia), nausea, vomiting, and/or constipation. In some cases, it may be possible to feel a mass in the abdomen [2].

H. pylori disease is profoundly connected with the advancement of MALToma of the stomach. The conclusion of gastric lymphoma is typically settled during upper endoscopy with biopsy; PET-CT used to identify extra-gastric association and in assessing treatment reaction (Figure 1).

Figure 1: Image showing Intra-Abdominal Lymphoma.

1. Radan L, Fischer D, Bar-Shalom R, Dann JE, Epelbaum R, et al. (2008) . Eur J Nucl Med Mol Imaging 35: 1424-1430.

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2.    Anis M, Irshad A (2008) . Radiol Clin North Am 46: 265-285.

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