A case of pulmonary mucosa-associated lymphoid tissue lymphoma diagnosed by detecting t(11;18)(q21;q21) in bronchial lavage fluid

IF 0.8 Q4 RESPIRATORY SYSTEM Respiratory Medicine Case Reports Pub Date : 2024-01-01 DOI:10.1016/j.rmcr.2024.102133
Yusuke Nakamura , Akihiro Takemasa , Yuki Ohoka , Nobuhiko Tsukada , Azusa Tsukada , Yoshimasa Nakazato , Kinuko Mitani , Akihiko Toyoda , Yasuo Shimizu , Seiji Niho
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Abstract

A 76-year-old woman was diagnosed with mucosa-associated lymphoid tissue (MALT) lymphoma by upper gastrointestinal endoscopy. She underwent further investigation for concomitant bilateral pleural effusions and right pulmonary consolidation. MALT lymphoma with the t(11; 18)(q21; q21) translocation and API2-MALT1 were detected in pleural fluid. Lymphoma was not histopathologically diagnosed by lung biopsies, but the same translocation was identified in bronchial lavage. MALT lymphoma is often difficult to diagnose by bronchoscopy because of only mild dysplasia. However, present report on using chromosomal translocation analysis from bronchial lavage indicates that such testing may serve as a useful diagnostic adjunct in MALT lymphoma with lung involvement.
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一例通过检测支气管灌洗液中的 t(11;18)(q21;q21)诊断出的肺粘膜相关淋巴组织淋巴瘤病例
一名 76 岁的妇女经上消化道内窥镜检查确诊为粘膜相关淋巴组织(MALT)淋巴瘤。她因同时伴有双侧胸腔积液和右肺合并症而接受了进一步检查。胸腔积液中检测到带有 t(11; 18)(q21; q21) 易位和 API2-MALT1 的 MALT 淋巴瘤。肺活检未对淋巴瘤进行组织病理学诊断,但在支气管灌洗液中发现了相同的易位。MALT 淋巴瘤通常很难通过支气管镜诊断,因为它只有轻微的发育不良。然而,本报告利用支气管灌洗液中的染色体易位分析表明,这种检测可作为肺部受累的MALT淋巴瘤的有效辅助诊断方法。
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来源期刊
Respiratory Medicine Case Reports
Respiratory Medicine Case Reports RESPIRATORY SYSTEM-
CiteScore
2.10
自引率
0.00%
发文量
213
审稿时长
87 days
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