Q:

The sine qua non of the histologic diagnosis of a gastric pseudolymphoma is:

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The sine qua non of the histologic diagnosis of a gastric pseudolymphoma is:


  1. Extragastric extension of the gastric lesion.
  2. Nodal involvement beyond the immediate stomach.
  3. A germinal center in the gastric lesion.
  4. Extension into esophagus and duodenum
  5. Unresponsive to conservative gastric resection.

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C. A germinal center in the gastric lesion.

DISCUSSION: Pseudolymphoma represents approximately 10% of all gastric lymphomas. These are benign conditions involving mostly the mucosa without evidence of nodal disease and without extragastric extension. The sine qua non for the diagnosis is a germinal center within the gastric lesion. These are premalignant lesions but can be cured completely with conservative resection.

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