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Pulmonary MALT Lymphoma has variable features on CT.

Wen Deng1, Ying Wan2, Jian-Qun Yu3

  • 1Department of Radiology, West China Hospital, Sichuan University, 37# Guo Xue Xiang, Chengdu, Sichuan, 610041, China.

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|June 19, 2019
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Summary
This summary is machine-generated.

Pulmonary mucosa-associated lymphoid tissue (MALT) lymphoma, the most common primary lung lymphoma, shows varied CT patterns. Consolidation with cystic bronchiectasis is a key indicator in symptomatic patients.

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Area of Science:

  • Radiology
  • Pulmonology
  • Oncology

Background:

  • Pulmonary mucosa-associated lymphoid tissue (MALT) lymphoma is the most frequent primary pulmonary lymphoma.
  • Limited research exists on the imaging features of pulmonary MALT lymphoma.

Purpose of the Study:

  • To describe the computed tomography (CT) manifestations of pulmonary MALT lymphoma.
  • To correlate CT findings with clinical characteristics.

Main Methods:

  • Retrospective analysis of 53 patients with histologically confirmed pulmonary MALT lymphoma who underwent chest CT.
  • Evaluation of lesion distribution, morphology, enhancement, size, lymphadenopathy, and associated features.

Main Results:

  • Pulmonary MALT lymphoma frequently presented as multiple (79%), bilateral (66%) lesions with random distribution (≥70%).
  • Consolidation (62%) was the most common pattern, followed by nodules (43%) and masses (21%).
  • Common associated features included air bronchograms and bronchiectasis (especially cystic), with cystic bronchiectasis seen only in symptomatic patients.

Conclusions:

  • Pulmonary MALT lymphoma exhibits diverse CT patterns.
  • Consolidation with cystic bronchiectasis is a characteristic late sign, aiding differential diagnosis.
  • High-resolution CT and multiplanar reconstruction enhance diagnostic accuracy.