Satoh Kiyoshi, Morita Takuya, Fumimoto Satoshi, Tsuji Hiroyuki, Ichihashi Yoshio, Ochi Kaoru, Hanaoka Nobuharu, Okada Yoshikatsu, Katsumata Takahiro
Department of Thoracic Surgery, Osaka Medical College Hospital, Takatsuki, Japan.
Department of Thoracic Surgery, Osaka Medical College Hospital, Takatsuki, Japan.
Ann Thorac Surg. 2015 Aug;100(2):700-2. doi: 10.1016/j.athoracsur.2014.09.070.
Primary pulmonary lymphomas constitute up to 1% of all pulmonary malignancies. Patients with mucosa-associated lymphoid tissue (MALT) lymphoma represent approximately 90% of patients with primary pulmonary lymphoma. Most pulmonary MALT lymphomas are primary tumors. Pulmonary metastasis is extremely rare. A 65-year-old woman was diagnosed with a thyroid MALT lymphoma in 2008 and underwent total thyroidectomy, followed by chemotherapy. After 5 years of follow-up, she referred to our hospital with an abnormal shadow on a chest roentgenogram. She underwent video-assisted thoracoscopic surgery and was diagnosed with metastatic thyroid MALT lymphoma. Postoperatively, she was treated with chemotherapy, including rituximab, and is alive without recurrence.
原发性肺淋巴瘤占所有肺恶性肿瘤的比例高达1%。黏膜相关淋巴组织(MALT)淋巴瘤患者约占原发性肺淋巴瘤患者的90%。大多数肺MALT淋巴瘤是原发性肿瘤。肺转移极为罕见。一名65岁女性在2008年被诊断为甲状腺MALT淋巴瘤,接受了甲状腺全切术,随后进行化疗。经过5年随访,她因胸部X线片出现异常阴影转诊至我院。她接受了电视辅助胸腔镜手术,被诊断为转移性甲状腺MALT淋巴瘤。术后,她接受了包括利妥昔单抗在内的化疗,目前存活且无复发。