MALT linfoma of the parotid gland. Case report
Abstract Introduction and objective: The parotid gland lymphomas are encountered unfrequently. We present a case report from a MALT lymphoma of the parotid gland, describing its most employed diagnostic and treatment strategies. Description: 69 year old woman with an asymptomatic tumor in the parotid gland tail, showing a nodular image in CT y MRI and with a negative citology by FAAB. We perform a total parotidectomy discovering a marginal zone MALT lymphoma. We complement the treatment with r-chop chemotherapy regimen during 4 months without recurrence signs after 1 year follow up. Conclusions: The salivary gland lymphomas are a rare entity that can be easily misdiagnosed by other common benign mases. We must suspect and don't forget this entity from our differential diagnosis diagram.
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Fernández A F, Espinoza N C, Mercado M V, Vallejos A H. Linfoma MALT de parótida, presentación de un caso clínico y revisión del tema. Rev Otorrinolaringol Cir Cabeza Cuello. 2012;72(1): 79-86.
Dong Y, Wen F, Shi A, Guan HW, Ge Y, Jiang Y. Value of multidetector computed tomography in the diagnosis of mucosa-associated lymphoid tissue-lymphomas in the parotid gland: A case report and review of the literature. Oncol Lett. 2014;7(3):781-6.
Isaacson P, Wright DH. Malignant lymphoma of mucosa-associated lymphoid tissue. A distinctive type of B-cell lymphoma. Cancer 1983;52:1410-6.
Joshi R, McNamara C. MALT lymphoma - Symptoms, diagnosis and treatment. BMJ Best Practice. Última revisión en 2020. Disponible en: https://bestpractice.bmj.com/topics/en-us/878
Ribrag V. Linfoma MALT. Última actualización: Marzo 2010. Disponible en: Orphanet, https://www.orpha.net/consor/cgi-bin/index.php
Cohen SM, Petryk M, Varma M, Kozuch PS, Ames ED, Grossbard ML. Non-Hodgkin's lymphoma of mucosa-associated lymphoid tissue. Oncologist. 2006;11(10):1100-17.
Vega F, Lin P, Medeiros LJ. Extranodal lymphomas of the head and neck. Ann Diagn Pathol 2005;9(6):340-50.
Celedón C, Ojeda JP, Agurto M, Olavarría C, Paredes A, Niklischek E et al. Tumores de glándulas salivales. Experiencia de 20 años. Rev Otorrinolaringol Cir Cab. Cuello 2002;62: 255-64.
Wotherspoon AC, Doglioni C, Diss TC, Pan L, Moschini A, de Boni M et al. Regression of primary low-grade B-cell gastric lymphoma of mucosa-associated lymphoid tissue type after eradication of Helicobacter pylori. Lancet. 1993;342(8871):575-7.
Fischbach W, Goebeler ME, Ruskone-Fourmestraux A, Wündisch T, Neubauer A, Raderer M, Savio A; EGILS (European Gastro-Intestinal Lymphoma Study) Group. Most patients with minimal histological residuals of gastric MALT lymphoma after successful eradication of Helicobacter pylori can be managed safely by a watch and wait strategy: experience from a large international series. Gut. 2007;56(12):1685-7.
Wöhrer S, Troch M, Streubel B, Zwerina J, Skrabs C, Formanek M, Hauff W, Hoffmann M, Müllauer L, Chott A, Raderer M. MALT lymphoma in patients with autoimmune diseases: a comparative analysis of characteristics and clinical course. Leukemia. 2007;21(8):1812-8.
Zhu L, Wang P, Yang J, Yu Q. Non-Hodgkin lymphoma involving the parotid gland: CT and MR imaging findings. Dentomaxillofac Radiol. 2013;42(9):20130046.
Urquhart A, Hutchins lg, Berg Rl. Preoperative computed tomography scans for parotid tumor evaluation. Laryngoscope 2001;111(11 Pt 1): 1984-8.
Bacon C, DU MQ, Dogan A. Mucosa-associated lymphoid tissue (MALT) lymphoma: a practical guide for pathologists. J Clin Pathol 2007;60:361-72.
Wenzel C, Fiebiger W, Dieckmann K, Formanek M, Chott A, Raderer M. Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue of the head and neck area: high rate of disease recurrence following local therapy. Cancer. 2003;97(9):2236-41.
DI-Palma S, Simpson RHW, Skalova A, Leivo I. Major and Minor Salivary Glands. En: Cardesa, A., Slootweg, P.J. (eds) Pathology of the Head and Neck. Springer, Berlin, Heidelberg, 2006; Ch.5: 154-5.
Dong Y, Wen F, Shi A, Guan HW, Ge Y, Jiang Y. Value of multidetector computed tomography in the diagnosis of mucosa-associated lymphoid tissue-lymphomas in the parotid gland: A case report and review of the literature. Oncol Lett. 2014;7(3):781-6.
Isaacson P, Wright DH. Malignant lymphoma of mucosa-associated lymphoid tissue. A distinctive type of B-cell lymphoma. Cancer 1983;52:1410-6.
Joshi R, McNamara C. MALT lymphoma - Symptoms, diagnosis and treatment. BMJ Best Practice. Última revisión en 2020. Disponible en: https://bestpractice.bmj.com/topics/en-us/878
Ribrag V. Linfoma MALT. Última actualización: Marzo 2010. Disponible en: Orphanet, https://www.orpha.net/consor/cgi-bin/index.php
Cohen SM, Petryk M, Varma M, Kozuch PS, Ames ED, Grossbard ML. Non-Hodgkin's lymphoma of mucosa-associated lymphoid tissue. Oncologist. 2006;11(10):1100-17.
Vega F, Lin P, Medeiros LJ. Extranodal lymphomas of the head and neck. Ann Diagn Pathol 2005;9(6):340-50.
Celedón C, Ojeda JP, Agurto M, Olavarría C, Paredes A, Niklischek E et al. Tumores de glándulas salivales. Experiencia de 20 años. Rev Otorrinolaringol Cir Cab. Cuello 2002;62: 255-64.
Wotherspoon AC, Doglioni C, Diss TC, Pan L, Moschini A, de Boni M et al. Regression of primary low-grade B-cell gastric lymphoma of mucosa-associated lymphoid tissue type after eradication of Helicobacter pylori. Lancet. 1993;342(8871):575-7.
Fischbach W, Goebeler ME, Ruskone-Fourmestraux A, Wündisch T, Neubauer A, Raderer M, Savio A; EGILS (European Gastro-Intestinal Lymphoma Study) Group. Most patients with minimal histological residuals of gastric MALT lymphoma after successful eradication of Helicobacter pylori can be managed safely by a watch and wait strategy: experience from a large international series. Gut. 2007;56(12):1685-7.
Wöhrer S, Troch M, Streubel B, Zwerina J, Skrabs C, Formanek M, Hauff W, Hoffmann M, Müllauer L, Chott A, Raderer M. MALT lymphoma in patients with autoimmune diseases: a comparative analysis of characteristics and clinical course. Leukemia. 2007;21(8):1812-8.
Zhu L, Wang P, Yang J, Yu Q. Non-Hodgkin lymphoma involving the parotid gland: CT and MR imaging findings. Dentomaxillofac Radiol. 2013;42(9):20130046.
Urquhart A, Hutchins lg, Berg Rl. Preoperative computed tomography scans for parotid tumor evaluation. Laryngoscope 2001;111(11 Pt 1): 1984-8.
Bacon C, DU MQ, Dogan A. Mucosa-associated lymphoid tissue (MALT) lymphoma: a practical guide for pathologists. J Clin Pathol 2007;60:361-72.
Wenzel C, Fiebiger W, Dieckmann K, Formanek M, Chott A, Raderer M. Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue of the head and neck area: high rate of disease recurrence following local therapy. Cancer. 2003;97(9):2236-41.
DI-Palma S, Simpson RHW, Skalova A, Leivo I. Major and Minor Salivary Glands. En: Cardesa, A., Slootweg, P.J. (eds) Pathology of the Head and Neck. Springer, Berlin, Heidelberg, 2006; Ch.5: 154-5.
Fernández-García, G., & Salom-Coveñas, C. (2023). MALT linfoma of the parotid gland. Case report. Revista ORL, 14(1), e28388. https://doi.org/10.14201/orl.28388
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