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Published on: May 1, 2015
[Pulmonary mucosa-associated lymphoid tissue (MALT) lymphoma accompanied with cystic change]
Itaru Nagahiro1, Hiroshi Nouso, Tsuyoshi Kawai
1Department of Surgery, Himeji Red Cross Hospital, Himeji, Japan.
Insights
A 64-year-old male presented with throat discomfort and was diagnosed with primary lung mucosa-associated lymphoid tissue (MALT) lymphoma. Surgical resection was successful, highlighting a rare cystic presentation of pulmonary MALT lymphoma.
Area of Science:
- Pulmonology
- Oncology
- Pathology
Background:
- Primary pulmonary mucosa-associated lymphoid tissue (MALT) lymphoma is a rare extranodal non-Hodgkin lymphoma.
- MALT lymphomas typically arise in extranodal sites, with pulmonary involvement being uncommon.
Observation:
- A 64-year-old male presented with throat discomfort.
- Chest computed tomography (CT) revealed a cystic lesion with a central solid component in the right lower lobe (4.1 x 3.9 cm).
Findings:
- Transbronchial lung biopsy diagnosed the lesion as MALT lymphoma of the lung.
- The patient was diagnosed with stage I-E MALT lymphoma.
- A right lower lobectomy was performed, and the cystic lesion was attributed to lymphoma infiltration causing air retention via a check-valve mechanism.
Implications:
- This case highlights a rare cystic presentation of primary pulmonary MALT lymphoma.
- Early diagnosis and surgical intervention can lead to favorable outcomes.
- Understanding the pathogenesis of cystic lesions in pulmonary MALT lymphoma is crucial for patient management.
Abstract:
A 64-year-old male with throat discomfort visited our hospital, and a chest computed tomography (CT) scan revealed a cystic lesion with a central solid component in the right lung (in the lower lobe, 4.1 x 3.9 cm in diameter). Transbronchial lung biopsy was performed and the lesion was diagnosed as mucosa-associated lymphoid tissue (MALT) lymphoma of the lung. No other lymphoma lesion was detected and it was diagnosed as the stage I-E, and a right lower lobectomy was performed. The cystic lesion derived from alveolus and bronchus destroyed by lymphoma infiltration and it might be caused by air retention due to check-valve mechanism.
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