This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': "The treatment of Hodgkin's disease of stomach is - \nSelect and explain. \nA. Gastric resection, B. None of these, C. Purely medical, D. Gastric resection and chemotherapy", 'role': 'user'}, {'content': 'Answer: D \nExplanation: • Primary gastric Hodgkin’s disease is extremely rare (<1% of all gastric lymphomas)\n• Stomach is the MC site of primary extranodal lymphoma\xa0in adults\nEtiology:\n• Association of classic Hodgkin’s disease with EBV\n• LMP1 (Latent Membrane Protein 1) an essential EBV protein, commonly expressed and associated with the pathogenesis of Hodgkin’s disease\nDiagnosis:\n• Endoscopy: Non-specific gastritis or peptic ulcers with mass lesions\n• A full panel of immunohistochemical markers is essential to make an accurate diagnosis of gastric Hodgkin’s disease.\nTreatment:\n• Hodgkin’s disease of the stomach has been treated by surgery while post operative chemotherapy has been employed for systemic disease.\nPrognosis:\n• Prognosis is poor with 45–60% of patients dying within the first year of diagnosis', 'role': 'assistant'}]