Pulmonary MALT lymphoma in 1 case.docVIP

 PAGE \* MERGEFORMAT 4 Pulmonary MALT lymphoma in 1 case [Keywords:] pulmonary MALT, lymphoma, MALTL Case Information Patients, male, 68 years old, because “no obvious incentive to mild cough, sputum, shortness of breath 1 year” admission. No chills, fever, heart palpitations, no nausea, vomiting. Physical examination: vital signs were normal, the body does not touch lymph node enlargement. Lower right lung can be heard and dry rales, double and a small amount could be heard under the moist lung rales, no other special. Blood: white blood cell (WBC: 12.8 × 109 / L, alpha-fetoprotein and carcinoembryonic antigen were normal. CT performance: the lower left lung, right middle lobe atelectasis, lung, right lung lower lobe basal segment in the former, “Mission films like” change, CT value of about 36HU, the edge is unclear, see “pleural indentation sign”, mild leaf and burr. lung lesions are visible “air bronchogram”, yet soft and bronchial lumen without stenosis, distortion, interruption. mediastinal and left lung shadow door a few lymph nodes, the largest with about 20mm × 15mm ( Fig. enhanced opacities significantly enhanced, CT value of about 62HU (Fig. Line under the right lower lung CT positioning percutaneous basal segment before surgery. Pathological description: “See fibrosis, hyalinization, of which a large number of diffuse infiltration of immature cells, some of translucent cytoplasm, the nuclear shape due to the rules, residual alveolar pressure, collapse, type 2 alveolar epithelial hyperplasia.” (Figure. immunohistochemistry said: “lymphoid cells, CD20 (+ CD79a (+), LCA (+), bcl-2 (+)”. Pathological diagnosis: (right lung non-Hodgkin’s lymphoma, B cell, mucosa-associated lymphoid tissue (MALTL type marginal zone lymphoma. Discussion Primary pulmonary lymphoma in a rare, in which low-grade mucosa-associated lymphoma (MALTL the most common. In the lungs of primary lymphoma, reported in the literature about 62.5-78%