Kang Ji Young, Park Hyun Jin, Lee Kyo-Young, Lee Sook Young, Kim Seung Joon, Park Sung Hak, Kim Young Kyoon
Department of Internal Medicine, The Catholic University of Korea, Seoul, Korea.
Yonsei Med J. 2008 Oct 31;49(5):860-3. doi: 10.3349/ymj.2008.49.5.860.
Extranodal marginal zone lymphoma is a low-grade B cell lymphoma that presents with an indolent clinicopathologic nature. Although this tumor can occur in various sites, including the gastrointestinal tract and lungs, it develops and spreads extremely rarely along the trachea and central airway. We report a case of extranodal lymphoma of mucosa-associated lymphoid tissue with tracheobronchial involvement. An 83-year-old woman presented with a cough and dyspnea. Bronchoscopic evaluation confirmed diffuse, multiple nodular lesions in both the trachea and large bronchi, and she was diagnosed with an extranodal marginal zone lymphoma of the tracheobronchial tree. After systemic chemotherapy, she survived for more than 18 months.
结外边缘区淋巴瘤是一种低度恶性的B细胞淋巴瘤,具有惰性的临床病理特征。尽管这种肿瘤可发生于包括胃肠道和肺部在内的多个部位,但沿着气管和中央气道发生和扩散极为罕见。我们报告一例黏膜相关淋巴组织结外淋巴瘤累及气管支气管的病例。一名83岁女性出现咳嗽和呼吸困难。支气管镜检查证实气管和大支气管内有弥漫性、多发性结节性病变,她被诊断为气管支气管树的结外边缘区淋巴瘤。经过全身化疗,她存活了18个月以上。