Toishi M, Miyazawa M, Takahashi K, Hyogotani A, Haba Y, Kato K, Muramatsu A, Nishiyama M, Ozawa K, Nanbu A, Miyata K
Department of Surgery, Kofu Municipal Hospital, Kofu, Japan.
Kyobu Geka. 2004 Jan;57(1):75-9.
Primary pulmonary malignant lymphoma is a rare disease that is thought to belong to a category of malignant lymphomas arising from mucosa-associated lymphoid tissue (MALT). We presented 2 cases of MALT lymphoma. Case 1: In a 39-year-old woman, an abnormal shadow was detected in chest radiography in the left S3. The diagnosis was organizing pneumonia in consequence of the further examination. One year after an growing abnormal shadow was detected again, we performed the tumor resection with the thoracoscopy in the possibility of malignancy. The pathological diagnosis was MALT lymphoma. Case 2: In a 70-year-old man, middle lobe syndrome was detected in chest radiography. As a result of the bronchial biopsy, the lesion was suspected of MALT lymphoma. Right middle lobectomy was performed, and the tumor was diagnosed as a MALT lymphoma histologically. He underwent an effective postoperative radiotherapy and has had no evidence of recurrence.
原发性肺恶性淋巴瘤是一种罕见疾病，被认为属于起源于黏膜相关淋巴组织（MALT）的恶性淋巴瘤范畴。我们报告了2例MALT淋巴瘤病例。病例1：一名39岁女性，胸部X线检查发现左肺上叶前段有异常阴影。进一步检查后诊断为机化性肺炎。一年后再次发现异常阴影增大，考虑到有恶性可能，我们通过胸腔镜进行了肿瘤切除。病理诊断为MALT淋巴瘤。病例2：一名70岁男性，胸部X线检查发现中叶综合征。支气管活检结果怀疑病变为MALT淋巴瘤。遂行右肺中叶切除术，术后病理诊断为MALT淋巴瘤。他接受了有效的术后放疗，目前尚无复发迹象。
