Gastrointestinal Pathology · Pathology

A 45-year-old male presents with chronic gastritis. A biopsy of the antrum reveals curved, rod-shaped organisms in the mucus layer. Which of the following is the most likely long-term complication if left untreated?

  1. Zollinger-Ellison syndrome (gastrinoma)
  2. Low-grade B-cell gastric MALT lymphoma
  3. Hypertrophic gastropathy
  4. Eosinophilic granulomatous gastritis
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Correct answer: Low-grade B-cell gastric MALT lymphoma

H. pylori infection causes chronic inflammation that can lead to lymphoid follicle formation. This chronic antigenic stimulation is the primary driver for the development of low-grade B-cell mucosal-associated lymphoid tissue (MALT) lymphoma.

Difficulty: Medium Question 2 of 20

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