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Primary esophageal mucosa-associated lymphoid tissue lymphoma: A case report and review of literature.

Abstract Mucosa-associated lymphoid tissue (MALT) lymphoma is a low grade malignant B cell lymphoma which occurs mainly in the organs having mucosal layer. Though gastrointestinal tract is the most commonly involved extranodal site, primary esophageal MALT lymphoma is very rare with less than 20 cases reported in literature.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28353588
OWN - NLM
STAT- MEDLINE
DA  - 20170329
DCOM- 20170407
LR  - 20170413
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 13
DP  - 2017 Mar
TI  - Primary esophageal mucosa-associated lymphoid tissue lymphoma: A case report and 
      review of literature.
PG  - e6478
LID - 10.1097/MD.0000000000006478 [doi]
AB  - RATIONALE: Mucosa-associated lymphoid tissue (MALT) lymphoma is a low grade
      malignant B cell lymphoma which occurs mainly in the organs having mucosal layer.
      Though gastrointestinal tract is the most commonly involved extranodal site,
      primary esophageal MALT lymphoma is very rare with less than 20 cases reported in
      literature. PATIENT CONCERNS: A 75-year-old man was referred to our hospital for 
      evaluation of dysphagia. Endoscopy revealed a submucosal tumor located in the
      middle and lower third of esophagus. CT chest and endoscopic ultrasound revealed 
      a 15.5 x 5.9 x 4.0 cm well circumscribed submucosa esophageal tumor. Test for
      serum antibody against H. pylori was negative. Due to the large tumor size,
      patient underwent surgical resection. Histological examination showed a
      submucosal tumor consisting of multiple nodules of varying sizes with intact
      covering squamous epithelium. The nodules were mainly composed of diffusely and
      monoclonal proliferating centrocyte-like or monocyte-like cells. Follicular
      colonizations were observed without lymphoepithelial lesions. The tumor cells
      were diffusely positive for CD20, PAX-5, Bcl-2 and follicular dendritic cells
      were positive for CD21, CD23. Monoclonal gene rearrangement was positive for
      immunoglobulin heavy chain gene, Kappa light chain gene and Lambda light chain
      gene. DIAGNOSES: Based on these findings, final diagnosis of esophageal MALT
      lymphoma was made. OUTCOMES: At 8 month follow up, no recurrence or metastases
      was detected. LESSONS: Esophageal MALT lymphoma is a rare disease with definitive
      diagnosis possible only after histopathological examination. It carries good
      prognosis due to low malignant potential.
FAU - Ma, Qiang
AU  - Ma Q
AD  - aDepartment of Pathology, Daping Hospital and Research Institute of Surgery, the 
      Third Military Medical University bDepartment of Pathology, Chongqing Corps
      Hospital of Chinese People's Armed Polices, Chongqing, P.R. China.
FAU - Zhang, Chun
AU  - Zhang C
FAU - Fang, San'gao
AU  - Fang S
FAU - Zhong, Peng
AU  - Zhong P
FAU - Zhu, Xiangfeng
AU  - Zhu X
FAU - Lin, Li
AU  - Lin L
FAU - Xiao, Hualiang
AU  - Xiao H
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Aged
MH  - Esophageal Mucosa/*pathology
MH  - Esophageal Neoplasms/*pathology
MH  - Humans
MH  - Lymphoma, B-Cell, Marginal Zone/*pathology
MH  - Male
PMC - PMC5380272
EDAT- 2017/03/30 06:00
MHDA- 2017/04/08 06:00
CRDT- 2017/03/30 06:00
AID - 10.1097/MD.0000000000006478 [doi]
AID - 00005792-201703310-00034 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Mar;96(13):e6478. doi: 10.1097/MD.0000000000006478.

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