3 Gastric Lymphoma and NETs

classical, rap · 3:12

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Lyrics

[Verse 1]
Let's map the stomach, lymphoid tissue running deep,
MALT lymphoma, marginal zone, a slow creep,
Helicobacter pylori, the bacterial seed,
Eradicate the bug and watch the tumour concede,
Triple therapy, PPI, clarithromycin stack,
Seventy-five percent of cases don't come back,
Residual disease gets radiotherapy next,
Surgery reserved when nothing else has checked,
Perforation, bleeding, obstruction on the plate,
That's when the surgeon's scalpel enters the debate

[Chorus]
Лечим желудок, знаем протокол,
MALT — бактерия, лечение — антибиотик-гол,
Cura o estômago, tipo por tipo vai,
NET, linfoma — o cirurgião não falha, não
Lymphoma, NETs, stomach on the line,
Know your type, know your treatment, nail the design

[Verse 2]
Now shift to DLBCL, aggressive, high-grade beast,
B-cell proliferation cranked up to the least,
Chemoimmunotherapy, R-CHOP leads the charge,
Rituximab plus cyclophosphamide, arsenal large,
Doxorubicin, vincristine, prednisolone in the mix,
Surgery doesn't anchor here, it doesn't fix,
But haemorrhage won't negotiate, perforation won't wait,
Operative intervention when complications escalate,
Know the difference — lymphoma grades define your move,
MALT bows to antibiotics, DLBCL needs chemo groove

[Chorus]
Лечим желудок, знаем протокол,
MALT — бактерия, лечение — антибиотик-гол,
Cura o estômago, tipo por tipo vai,
NET, linfoma — o cirurgião não falha, não
Lymphoma, NETs, stomach on the line,
Know your type, know your treatment, nail the design

[Verse 3]
Neuroendocrine tumours, now classify by three,
Type one, ECL-cell hyperplasia, autoimmune key,
Chronic atrophic gastritis drives the gastrin high,
Antrectomy removes the source, gastrin drops — goodbye,
Small polyps under ten millimetres, scope and snare,
Endoscopic resection handles most of what is there,
Type two links to MEN-one and Zollinger-Ellison syndrome,
Gastrinoma driving ECL cells, hypergastrinaemia's home,
Manage the primary lesion, surveillance is your friend,
Endoscopic clearance, surgical if extensions extend

[Bridge]
Tipo três — o mais perigoso, sem causa hormonal,
Sporadic, solitary, high-grade potential, злокачественный сигнал,
No hypergastrinaemia, no atrophy to blame,
Surgical resection with lymph node clearance, this one plays a different game,
Gastrectomy with margins, treat it like an adenocarcinoma's twin,
Misclassify the type and you'll let the worst scenario win

[Chorus]
Лечим желудок, знаем протокол,
MALT — бактерия, лечение — антибиотик-гол,
Cura o estômago, tipo por tipo vai,
NET, linfoma — o cirurgião não falha, não
Lymphoma, NETs, stomach on the line,
Know your type, know your treatment, nail the design

[Outro]
MALT: eradicate, irradiate, operate last resort,
DLBCL: R-CHOP commands, surgery only for urgent court,
NET type one: antrectomy drops gastrin at the root,
Type two: treat the gastrinoma, surveillance absolute,
Type three: resect aggressively, margins clear and wide,
Classify correctly — that's the only guide

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