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. 2017 Sep 25;56(22):3119–3120. doi: 10.2169/internalmedicine.9000-17

Primary Pulmonary MALT Lymphoma with Ground-glass Nodule

Masahiro Tahara 1, Toshiya Maekura 1, Takahiko Kasai 2, Masanori Akira 3
PMCID: PMC5725874  PMID: 28943582

A 65-year-old Japanese woman was admitted because of an abnormal chest shadow. Ten years earlier, she had been diagnosed with surgical lung biopsy-confirmed primary pulmonary mucosa-associated lymphoid tissue (MALT) lymphoma. Chest computed tomography (CT) showed a partially solid nodule (Picture 1). A surgical lung biopsy showed a lymphoepithelial lesion and follicular colonization (Picture 2). She was diagnosed with recurrent MALT lymphoma. A 75-year-old Japanese man was admitted because of an abnormal chest shadow. Chest CT showed a nodule with a ground-glass halo (Picture 3). A surgical lung biopsy showed a lymphoepithelial lesion and diffuse infiltration by lymphocytes (Picture 4). He was diagnosed with MALT lymphoma. The CT findings mimicked adenocarcinoma; therefore, we performed a surgical lung biopsy. The typical CT findings in MALT lymphoma are pulmonary masses (87%), and ground-glass nodules are rare (1,2). Nevertheless, physicians should consider MALT lymphoma in patients with ground-glass nodules.

Picture 1.

Picture 1.

Picture 2.

Picture 2.

Picture 3.

Picture 3.

Picture 4.

Picture 4.

The authors state that they have no Conflict of Interest (COI).

References

  • 1. King LJ, Padley SP, Wotherspoon AC, Nicholson AG. Pulmonary MALT lymphoma: imaging findings in 24 cases. Eur Radiol 10: 1932-1938, 2000. [DOI] [PubMed] [Google Scholar]
  • 2. Nakata M, Saeki H, Takata I, et al. Focal ground-glass opacity detected by low-dose helical CT. Chest 121: 1464-1467, 2002. [DOI] [PubMed] [Google Scholar]

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