Aleksiejūnaitė Monika, Talijūnas Andrius, Zaleckas Linas, Rastenienė Rūta
Centre of Oral and Maxillofacial Surgery, Faculty of Medicine, Vilnius University Hospital Žalgiris Clinic, Vilnius, LTU.
Cureus. 2023 Apr 26;15(4):e38179. doi: 10.7759/cureus.38179. eCollection 2023 Apr.
Mucosa-associated lymphoid tissue (MALT) lymphoma is a type of B-cell lineage lymphoma that can affect the head and neck region. This report presents a rare case of an extra-nodal marginal zone B-cell MALT lymphoma of a sublingual gland, diagnosed in an 18-year-old male patient. The patient had a history of ranula surgical removal on the right side of the mouth. One year after surgery, the patient presented with complaints of swelling of the left parotid gland, with no significant changes found during the examination and a self-resolving outcome. Subsequently, two years later, the patient began to complain of a fast-growing cyst under the tongue. A surgical excision of the left sublingual gland and the ranula was performed, and a final diagnosis of MALT lymphoma was rendered. The patient was referred to the department of hematology for further treatment planning and follow-up.
黏膜相关淋巴组织(MALT)淋巴瘤是一种可累及头颈部区域的B细胞系淋巴瘤。本报告介绍了一例罕见的舌下腺结外边缘区B细胞MALT淋巴瘤病例,该病例诊断于一名18岁男性患者。患者有右侧口腔黏液囊肿手术切除史。术后一年,患者出现左侧腮腺肿胀的症状,检查未发现明显变化,且症状自行缓解。随后,两年后,患者开始抱怨舌下有一个快速生长的囊肿。对左侧舌下腺和黏液囊肿进行了手术切除,最终诊断为MALT淋巴瘤。患者被转诊至血液科进行进一步的治疗规划和随访。