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Volume 65 - 2002 - Fasc.4 - Case reports

NASH-NAFLD management

Management of a disease must be informed by under- standing of its natural history and prognosis, diagnostic criteria and methods, and by our knowledge of treat- ments available and their efficacy. It is the purpose of this contribution to draw aspects of all three areas together so that we propose the best management guide- lines and strategy in the light of present knowledge towards the end of 2002. Non-alcoholic fatty liver disease (NAFLD) is largely encountered in office and outpatient practice (1) most patients have either no relevant symptoms or these are ill defined at presentation - these facts inform our manage- ment decisions.

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Primary neutrophil-rich, CD30-positive anaplastic large cell lymphoma of the stomach : case report and review of the literature

Primary T-cell lymphoma of the stomach is a rare disease, most gastric lymphomas being of B-cell type. Here we describe a unique case of primary neutrophil-rich CD30-positive anaplastic large cell lymphoma (ALCL) of the stomach that was treated and cured by combined chemotherapy. According to our literature review, only 7 cases of primary gastric ALCL have been previously report- ed, none of them being of the neutrophil-rich subtype. Although very peculiar in its histological presentation, which may simulate an inflammatory or carcinomatous process, the natural history as well as the clinical features of this unusual gastric lymphoma does not differ from the other reported cases of gastric ALCL. (Acta gastroenterol. belg., 2002, 65, 237-240).

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