Pathology, Beth Israel Lahey Health, Boston, Massachusetts, USA.
Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia
J Clin Pathol. 2020 Jul;73(7):378-383. doi: 10.1136/jclinpath-2019-206377. Epub 2020 Feb 7.
Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma) occurs in approximately 9% of non-Hodgkin B cell lymphoma. However, it occurs only rarely within the colon. The presentation is often asymptomatic, and can have multiple endoscopic appearances, including a single or multinodular polypoid lesion. Furthermore, small biopsies can make histological evaluation challenging. The 2016 WHO classification update includes many molecular features of entities and expands the differential diagnosis of lymphoid lesions of the colon. In addition to immunohistochemistry, molecular methods may be tempting to use for small difficult cases. Furthermore, treatment approaches are varied for this entity, and not well studied. Therefore, an updated review on MALT lymphoma of the colon is needed.
结外黏膜相关淋巴组织边缘区淋巴瘤(MALT 淋巴瘤)约占非霍奇金 B 细胞淋巴瘤的 9%。然而,其在结肠中非常罕见。临床表现通常为无症状,且具有多种内镜表现,包括单发或多发息肉样病变。此外,小活检可能使组织学评估具有挑战性。2016 年世界卫生组织分类更新包括许多实体的分子特征,并扩大了结肠淋巴病变的鉴别诊断。除免疫组织化学外,分子方法可能对小而困难的病例具有吸引力。此外,该实体的治疗方法多种多样,且研究不足。因此,需要对结外黏膜相关淋巴组织边缘区淋巴瘤进行更新的综述。