Conservative treatment options for gastric lymphoma


  • 9 year old mn Papillon with 2 week hx of vomiting, diarrhea and lethargy
  • Bloodwork showed ALB=1.6g/dL
  • Abdominal US showed abnormal nodular multifocal gastric wall thickening.
  • Cytology performed on US guided fna of stomach wall showed gastric large cell lymphoma
    • 9 year old mn Papillon with 2 week hx of vomiting, diarrhea and lethargy
    • Bloodwork showed ALB=1.6g/dL
    • Abdominal US showed abnormal nodular multifocal gastric wall thickening.
    • Cytology performed on US guided fna of stomach wall showed gastric large cell lymphoma
    • Because of the severe hypoalbuminemia, treatment with prednisone was initiated 3 days ago while awaiting cytology results.  Additional recommended tx included antibiotics, prescription diet (low fat or hydrolyzed), cobalamin supplementation, anti-coagulant therapy (clopidogrel or low dose aspirin), anti-ulcer medication (omeprazole), anti-emetics, and fluids as needed.
    • The owner cannot afford multiomodal chemotherapy.  Based on what I have read so far, GI LSA does not respond well to multimodal chemo anyways.
    • Does anyone have any references or recommendations for any  lower cost multimodal or palliative therapy that could be managed by the primary vet besides pred?  

    Thank you!


One response to “Conservative treatment options for gastric lymphoma”

  1. Not a great diagnosis. Can

    Not a great diagnosis. Can add cyclophosphamide with the prednisolone.

Skip to content