Recommended evaluation for patients with newly diagnosed MALT lymphoma.
| All patients | Diagnostic biopsy (fine needle aspiration |
| [FNA] is not sufficient) | |
| Complete history and physical examination | |
| Laboratory evaluation: | |
| Complete blood count | |
| Routine electrolytes | |
| Kidney and liver function tests | |
| Lactate dehydrogenase | |
| Beta-2 microglobulin | |
| Hepatitis B and C serology | |
| Bone marrow aspiration and biopsy | |
| CT scans of chest/abdomen/pelvis (neck optional) | |
| Gastric MALT | Helicobacter pylori serology (if H pylori not yet confirmed) |
| H pylori stool antigen test (if H pylori not yet confirmed) | |
| Endoscopic ultrasound | |
| t(11;18) evaluation by FISH | |
| Nongastric MALT | Consider the following based upon history and physical: |
| Upper and lower endoscopy | |
| Double contrast radiograph of small bowel | |
| Camera endoscopy | |
| Endoscopic otolaryngology examination | |
| MRI orbit | |
| CT scan of parotid/salivary glands |
| All patients | Diagnostic biopsy (fine needle aspiration |
| [FNA] is not sufficient) | |
| Complete history and physical examination | |
| Laboratory evaluation: | |
| Complete blood count | |
| Routine electrolytes | |
| Kidney and liver function tests | |
| Lactate dehydrogenase | |
| Beta-2 microglobulin | |
| Hepatitis B and C serology | |
| Bone marrow aspiration and biopsy | |
| CT scans of chest/abdomen/pelvis (neck optional) | |
| Gastric MALT | Helicobacter pylori serology (if H pylori not yet confirmed) |
| H pylori stool antigen test (if H pylori not yet confirmed) | |
| Endoscopic ultrasound | |
| t(11;18) evaluation by FISH | |
| Nongastric MALT | Consider the following based upon history and physical: |
| Upper and lower endoscopy | |
| Double contrast radiograph of small bowel | |
| Camera endoscopy | |
| Endoscopic otolaryngology examination | |
| MRI orbit | |
| CT scan of parotid/salivary glands |