Pleuric presentation of extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue: a case report and a review of the literature
A primary pleural marginal zone B cell lymphoma of mucosa-associated lymphoid tissue (MALT) is a very rare eventuality. Here, we report a rare case of MALT lymphoma arising in the pleura and update the literature on this topic. A 74-year-old female was hospitalized for persistent cough and weakness....
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| Veröffentlicht in: | International journal of hematology 2010-09, Vol.92 (2), p.369-373 |
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| creator | Motta, Giovanna Conticello, Concetta Amato, Gabriella Moschetti, Gaetano Colarossi, Cristina Cosentino, Sebastiano Ippolito, Massimo Giustolisi, Rosario Di Raimondo, Francesco |
| description | A primary pleural marginal zone B cell lymphoma of mucosa-associated lymphoid tissue (MALT) is a very rare eventuality. Here, we report a rare case of MALT lymphoma arising in the pleura and update the literature on this topic. A 74-year-old female was hospitalized for persistent cough and weakness. A chest radiograph and total-body CT scan showed only large right-sided pleural effusion, and the coexistence of pleural thickening. Video-assisted thoracoscopic exploration and a talc pleurodesis were performed and microscopic and immunohistochemical findings showed that the tumor was a pleural MALT lymphoma. The patient received immunotherapy with Rituximab and obtained a good response that lasted 2 years. To the best of our knowledge, only seven cases of primary pleural MALT lymphoma have been documented until recently, mostly from Japan with a mean age for all patients of 60.5 years. The pathogenesis of MALT lymphomas remains unclear, although a possible chronic antigenic stimulation by microbial pathogens and/or autoantigens has been hypothesized. Surgical resection was performed in most cases, and some patients received postoperative chemotherapy or immunotherapy. The clinicopathologic characteristics and management of this extremely rare disease are also discussed. |
| doi_str_mv | 10.1007/s12185-010-0645-2 |
| format | Article |
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Here, we report a rare case of MALT lymphoma arising in the pleura and update the literature on this topic. A 74-year-old female was hospitalized for persistent cough and weakness. A chest radiograph and total-body CT scan showed only large right-sided pleural effusion, and the coexistence of pleural thickening. Video-assisted thoracoscopic exploration and a talc pleurodesis were performed and microscopic and immunohistochemical findings showed that the tumor was a pleural MALT lymphoma. The patient received immunotherapy with Rituximab and obtained a good response that lasted 2 years. To the best of our knowledge, only seven cases of primary pleural MALT lymphoma have been documented until recently, mostly from Japan with a mean age for all patients of 60.5 years. The pathogenesis of MALT lymphomas remains unclear, although a possible chronic antigenic stimulation by microbial pathogens and/or autoantigens has been hypothesized. Surgical resection was performed in most cases, and some patients received postoperative chemotherapy or immunotherapy. The clinicopathologic characteristics and management of this extremely rare disease are also discussed.</description><identifier>ISSN: 0925-5710</identifier><identifier>EISSN: 1865-3774</identifier><identifier>DOI: 10.1007/s12185-010-0645-2</identifier><identifier>PMID: 20725816</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Aged ; Antibodies, Monoclonal, Murine-Derived - therapeutic use ; Antigens ; Antineoplastic Agents ; Autoantigens ; B-cell lymphoma ; Biological and medical sciences ; Case Report ; Case reports ; Chemotherapy ; Computed tomography ; Cough ; Female ; Hematologic and hematopoietic diseases ; Hematology ; Humans ; Immunotherapy ; Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis ; Literature reviews ; Lymphoma ; Lymphoma, B-Cell, Marginal Zone - diagnosis ; Lymphoma, B-Cell, Marginal Zone - drug therapy ; Medical sciences ; Medicine ; Medicine & Public Health ; Microorganisms ; Mucosa ; Mucosal-associated lymphoid tissue ; Oncology ; Pathogenesis ; Pleura ; Pleura - pathology ; Pleural effusion ; Pleural Effusion - diagnosis ; Pleural Effusion - drug therapy ; Rare diseases ; Remission Induction ; Rituximab ; Thickening ; Tumors</subject><ispartof>International journal of hematology, 2010-09, Vol.92 (2), p.369-373</ispartof><rights>The Japanese Society of Hematology 2010</rights><rights>2015 INIST-CNRS</rights><rights>The Japanese Society of Hematology 2010.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c547t-6fd1e008ae89294eb84e00d7effd50f35e6872b923b18af4e59f5d426bbca3203</citedby><cites>FETCH-LOGICAL-c547t-6fd1e008ae89294eb84e00d7effd50f35e6872b923b18af4e59f5d426bbca3203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12185-010-0645-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12185-010-0645-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23360734$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20725816$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Motta, Giovanna</creatorcontrib><creatorcontrib>Conticello, Concetta</creatorcontrib><creatorcontrib>Amato, Gabriella</creatorcontrib><creatorcontrib>Moschetti, Gaetano</creatorcontrib><creatorcontrib>Colarossi, Cristina</creatorcontrib><creatorcontrib>Cosentino, Sebastiano</creatorcontrib><creatorcontrib>Ippolito, Massimo</creatorcontrib><creatorcontrib>Giustolisi, Rosario</creatorcontrib><creatorcontrib>Di Raimondo, Francesco</creatorcontrib><title>Pleuric presentation of extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue: a case report and a review of the literature</title><title>International journal of hematology</title><addtitle>Int J Hematol</addtitle><addtitle>Int J Hematol</addtitle><description>A primary pleural marginal zone B cell lymphoma of mucosa-associated lymphoid tissue (MALT) is a very rare eventuality. Here, we report a rare case of MALT lymphoma arising in the pleura and update the literature on this topic. A 74-year-old female was hospitalized for persistent cough and weakness. A chest radiograph and total-body CT scan showed only large right-sided pleural effusion, and the coexistence of pleural thickening. Video-assisted thoracoscopic exploration and a talc pleurodesis were performed and microscopic and immunohistochemical findings showed that the tumor was a pleural MALT lymphoma. The patient received immunotherapy with Rituximab and obtained a good response that lasted 2 years. To the best of our knowledge, only seven cases of primary pleural MALT lymphoma have been documented until recently, mostly from Japan with a mean age for all patients of 60.5 years. The pathogenesis of MALT lymphomas remains unclear, although a possible chronic antigenic stimulation by microbial pathogens and/or autoantigens has been hypothesized. Surgical resection was performed in most cases, and some patients received postoperative chemotherapy or immunotherapy. The clinicopathologic characteristics and management of this extremely rare disease are also discussed.</description><subject>Aged</subject><subject>Antibodies, Monoclonal, Murine-Derived - therapeutic use</subject><subject>Antigens</subject><subject>Antineoplastic Agents</subject><subject>Autoantigens</subject><subject>B-cell lymphoma</subject><subject>Biological and medical sciences</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Chemotherapy</subject><subject>Computed tomography</subject><subject>Cough</subject><subject>Female</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Hematology</subject><subject>Humans</subject><subject>Immunotherapy</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Literature reviews</subject><subject>Lymphoma</subject><subject>Lymphoma, B-Cell, Marginal Zone - diagnosis</subject><subject>Lymphoma, B-Cell, Marginal Zone - drug therapy</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Microorganisms</subject><subject>Mucosa</subject><subject>Mucosal-associated lymphoid tissue</subject><subject>Oncology</subject><subject>Pathogenesis</subject><subject>Pleura</subject><subject>Pleura - pathology</subject><subject>Pleural effusion</subject><subject>Pleural Effusion - diagnosis</subject><subject>Pleural Effusion - drug therapy</subject><subject>Rare diseases</subject><subject>Remission Induction</subject><subject>Rituximab</subject><subject>Thickening</subject><subject>Tumors</subject><issn>0925-5710</issn><issn>1865-3774</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kctu1TAQhi0EoofCA7BBFgixSrEdO3bYoYqbVKksYB1NnHHrKomD7QDlGfrQODqHVkLqypf55rc1HyHPOTvhjOm3iQtuVMU4q1gjVSUekB03japqreVDsmOtUJXSnB2RJyldMcY1k_oxORJMC2V4syM3X0dco7d0iZhwzpB9mGlwFH_nCHMYYKQTxAs_l82fMCMdr6flMkywQdNqQ4IKUgrWQ8bhUPUDzT6lFd9RoBYS0ohLiJnCPJSbiD89_toC8mUJ9Bkj5DXiU_LIwZjw2WE9Jt8_fvh2-rk6O__05fT9WWWV1Llq3MCRMQNoWtFK7I0sx0Gjc4NirlbYGC36VtQ9N-AkqtapQYqm7y3UgtXH5M0-d4nhx4opd5NPFscRZgxr6rSSTJiWq0K-_I-8Cmsss9ggzoVsNS_Qq_sg0bRKm6aVplB8T9kYUorouiX6MtrrjrNu09ntdXZFZ7fp7ETpeXFIXvsJh9uOf_4K8PoAQLIwuqLM-nTH1XXDdC0LJ_ZcKqX5AuPdF-9__S9ORLj5</recordid><startdate>20100901</startdate><enddate>20100901</enddate><creator>Motta, Giovanna</creator><creator>Conticello, Concetta</creator><creator>Amato, Gabriella</creator><creator>Moschetti, Gaetano</creator><creator>Colarossi, Cristina</creator><creator>Cosentino, Sebastiano</creator><creator>Ippolito, Massimo</creator><creator>Giustolisi, Rosario</creator><creator>Di Raimondo, Francesco</creator><general>Springer Japan</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7TM</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20100901</creationdate><title>Pleuric presentation of extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue: a case report and a review of the literature</title><author>Motta, Giovanna ; Conticello, Concetta ; Amato, Gabriella ; Moschetti, Gaetano ; Colarossi, Cristina ; Cosentino, Sebastiano ; Ippolito, Massimo ; Giustolisi, Rosario ; Di Raimondo, Francesco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c547t-6fd1e008ae89294eb84e00d7effd50f35e6872b923b18af4e59f5d426bbca3203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Antibodies, Monoclonal, Murine-Derived - therapeutic use</topic><topic>Antigens</topic><topic>Antineoplastic Agents</topic><topic>Autoantigens</topic><topic>B-cell lymphoma</topic><topic>Biological and medical sciences</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Chemotherapy</topic><topic>Computed tomography</topic><topic>Cough</topic><topic>Female</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Hematology</topic><topic>Humans</topic><topic>Immunotherapy</topic><topic>Leukemias. 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Here, we report a rare case of MALT lymphoma arising in the pleura and update the literature on this topic. A 74-year-old female was hospitalized for persistent cough and weakness. A chest radiograph and total-body CT scan showed only large right-sided pleural effusion, and the coexistence of pleural thickening. Video-assisted thoracoscopic exploration and a talc pleurodesis were performed and microscopic and immunohistochemical findings showed that the tumor was a pleural MALT lymphoma. The patient received immunotherapy with Rituximab and obtained a good response that lasted 2 years. To the best of our knowledge, only seven cases of primary pleural MALT lymphoma have been documented until recently, mostly from Japan with a mean age for all patients of 60.5 years. The pathogenesis of MALT lymphomas remains unclear, although a possible chronic antigenic stimulation by microbial pathogens and/or autoantigens has been hypothesized. Surgical resection was performed in most cases, and some patients received postoperative chemotherapy or immunotherapy. The clinicopathologic characteristics and management of this extremely rare disease are also discussed.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>20725816</pmid><doi>10.1007/s12185-010-0645-2</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Antibodies, Monoclonal, Murine-Derived - therapeutic use Antigens Antineoplastic Agents Autoantigens B-cell lymphoma Biological and medical sciences Case Report Case reports Chemotherapy Computed tomography Cough Female Hematologic and hematopoietic diseases Hematology Humans Immunotherapy Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis Literature reviews Lymphoma Lymphoma, B-Cell, Marginal Zone - diagnosis Lymphoma, B-Cell, Marginal Zone - drug therapy Medical sciences Medicine Medicine & Public Health Microorganisms Mucosa Mucosal-associated lymphoid tissue Oncology Pathogenesis Pleura Pleura - pathology Pleural effusion Pleural Effusion - diagnosis Pleural Effusion - drug therapy Rare diseases Remission Induction Rituximab Thickening Tumors |
| title | Pleuric presentation of extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue: a case report and a review of the literature |
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