A case report of unusual cavity presentation of pulmonary extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue

作者：Huang, Na^*; Wei, Ming-Li; Wang, Bei; Zhang, Chun-Lu; Li, Wang-Cheng^*

来源：Medicine, 2018, 97(27): e11372.

DOI：10.1097/MD.0000000000011372

• cavity presentation
• pulmonary extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue

Rationale: 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.
Patient concerns: The patient gives his consent and authorizes the photographs featuring his likeness to be published.
Diagnoses: This patient was diagnosed as pulmonary MZBL of MALT type by pathology, immunohistochemistry, and gene rearrangement.
Interventions: The patient was treated with CHOP (cyclophosphamide, adriamycin, vincristine and prednisone) chemotherapy for twice and antibiotics.
Outcomes: He is being followed up for one year, with slight progress in pulmonary MZBL of MALT.
Lessons: 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.

• 出版日期2018-7
• 单位成都医学院