In this case report, we describe two cases of gastric mucosa-
associated lymphoid tissue (MALT) lymphoma. The first patient,
who presented with complaints of indigestion, nausea and
epigastralgy, had a solid ulcer on endoscopy. Biopsies showed,
next to MALT, presence of Helicobacter Pylori. The second
patient was admitted with hematemesis. The multiple ulcerations
in his stomach were thought to be cocaine-induced. Only after
multiple biopsies the diagnosis of MALT was made. No presence
of Helicobacter Pylori could be detected. The first patient was
successfully treated with Helicobacter Pylori eradication therapy.
Localized radiotherapy resulted in complete remission in our
second patient. Hence, in absence of Helicobacter Pylori, more
aggressive treatment modalities are needed.