左主支气管黏膜相关淋巴组织淋巴瘤。

Mucosa-associated lymphoid tissue lymphoma of the left mainstem bronchus.

机构信息

Department of General Thoracic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.

出版信息

Ann Thorac Surg. 2011 Apr;91(4):1281-3. doi: 10.1016/j.athoracsur.2010.10.009.

DOI:10.1016/j.athoracsur.2010.10.009

Abstract

Primary mucosa-associated lymphoid tissue (MALT) lymphoma of the large airway is extremely rare. We report a patient in whom we performed a sleeve resection of the left main bronchus without resection of lung parenchyma for MALT lymphoma. During restaging of the disease, tumor cells were detected in the bone marrow, and the patient subsequently underwent systemic chemotherapy with anti-CD20 antibody. The patient currently remains free of recurrence. Local resection of bronchial MALT lymphoma is very important to avoid airway difficulties. In addition, although MALT lymphoma of the bronchus appears to be localized, systemic spread of the disease must be considered and investigated.

摘要

原发性大呼吸道黏膜相关淋巴组织（MALT）淋巴瘤极为罕见。我们报告了一例患者，我们对其实施了左主支气管袖状切除术，而未切除肺实质，用于治疗 MALT 淋巴瘤。在疾病的再分期过程中，骨髓中检测到肿瘤细胞，随后患者接受了抗 CD20 抗体的全身化疗。目前患者无复发迹象。局部切除支气管 MALT 淋巴瘤对于避免气道困难非常重要。此外，尽管支气管 MALT 淋巴瘤似乎局限于局部，但必须考虑并调查疾病的全身扩散情况。