Mole Evangelia N, Papadakos Vasilios T, Sfontouris Charalampos I
Department of Rheumatology, Evaggelismos General Hospital, Athens, Greece.
Mediterr J Rheumatol. 2017 Mar 28;28(1):52-56. doi: 10.31138/mjr.28.1.52. eCollection 2017 Mar.
Bronchus-associated lymphoid tissue lymphoma (BALT) is classified as marginal-zone lymphoma. Although it is a rare disease, the possibility of development in patients with Sjögren's syndrome should always be included in the physician's mind. Usually it appears as a distinct clinical and radiological entity. We describe a case of BALT lymphoma in a patient with primary Sjögren's syndrome (pSS) who presented with a solitary mass and several smaller focal infiltrations in the right lower lobe of the lung. The definitive diagnosis was achieved after performing an open biopsy and histological examination of the lesion. It is considerably difficult to identify lymphoma by computed tomography exclusively, since there is a great discrepancy between clinical and radiological features. A lesion biopsy should always be performed.
支气管相关淋巴组织淋巴瘤（BALT）被归类为边缘区淋巴瘤。尽管它是一种罕见疾病，但医生应始终考虑干燥综合征患者发生该病的可能性。通常它表现为一种独特的临床和放射学实体。我们描述了一例原发性干燥综合征（pSS）患者发生的BALT淋巴瘤病例，该患者右肺下叶出现一个孤立肿块和几个较小的局灶性浸润。在对病变进行开放性活检和组织学检查后做出了明确诊断。仅通过计算机断层扫描很难识别淋巴瘤，因为临床和放射学特征之间存在很大差异。应始终进行病变活检。
