Huang Na, Wei Ming-Li, Wang Bei, Zhang Chun-Lu, Li Wang-Cheng
Department of Respiratory Medicine, The First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China.
Medicine (Baltimore). 2018 Jul;97(27):e11372. doi: 10.1097/MD.0000000000011372.
The common CT scan findings of pulmonary MZBL of MALT type include airspace consolidation, nodules and ground-glass opacity. But, to our knowledge, the present case is the first report of a cavity presentation of pulmonary MZBL of MALT type.
The patient gives his consent and authorizes the photographs featuring his likeness to be published.
This patient was diagnosed as pulmonary MZBL of MALT type by pathology, immunohistochemistry, and gene rearrangement.
The patient was treated with CHOP (cyclophosphamide, adriamycin, vincristine and prednisone) chemotherapy for twice and antibiotics.
He is being followed up for one year, with slight progress in pulmonary MZBL of MALT.
This case highlights the need to be suspicious of MZBL of MALT type, when a radiographic image shows cavity lesion. We should consider whether the diagnosis is correct, when the patient's treatment is not effective.
黏膜相关淋巴组织（MALT）型肺黏膜相关淋巴组织淋巴瘤（MZBL）的常见CT扫描表现包括肺泡实变、结节和磨玻璃影。但据我们所知，本例是MALT型肺MZBL出现空洞表现的首例报道。
患者同意并授权发表其照片。
该患者经病理、免疫组化及基因重排诊断为MALT型肺MZBL。
患者接受了两次CHOP（环磷酰胺、阿霉素、长春新碱和泼尼松）化疗及抗生素治疗。
对其进行了一年的随访，MALT型肺MZBL略有进展。
本病例强调，当影像学图像显示有空洞病变时，需怀疑MALT型MZBL。当患者治疗无效时，我们应考虑诊断是否正确。
