Case 146 – update 2

This lady has been diagnosed with stage IE extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma), Helicobater pylori positive. She has completed 4 weeks of triple eradication therapy with lansoprazole, amoxicillin and clarithromycin, and her H. pylori test is now negative.

Unfortunately, her follow-up OGD and biopsy at 3 months show residual lymphoma.

How would you proceed at this point?

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