Treatment algorithm for the management of gastric MALT lymphoma confined to the stomach, with or without regional lymph node involvement. It is currently recommended that gastric biopsies are evaluated using the Group d’Etude des Lymphomes de l’Adult (GELA) scoring system.³³  *Indications to treat comprise overt progression, deep gastric wall invasion, regional lymph node involvement, t(11;18) translocation. EGD, esophagogastroduodenoscopy; RT, involved-field radiotherapy (24-30 Gy to the stomach and perigastric nodes given in 3-4 weeks).