Primary Mucosa-associated Lymphoid Tissue Lymphoma Metachronously Involving Esophagus and Stomach.
10.4166/kjg.2016.67.5.257
- Author:
Seung Joo BYUN
1
;
Hyoun Woo KANG
;
Joo Kyoung CHA
;
Soo Ryeong RYOO
;
Jeong Hyeon LEE
;
Do Yeon KIM
;
Eo Jin KIM
Author Information
1. Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Korea. gangmali@naver.com
- Publication Type:Case Report
- Keywords:
Marginal zone B-cell lymphoma;
Esophagus;
Stomach;
Metachronous
- MeSH:
Diagnosis;
Endoscopy, Digestive System;
Esophagus*;
Gastrointestinal Tract;
Humans;
Lymphoid Tissue;
Lymphoma;
Lymphoma, B-Cell;
Lymphoma, B-Cell, Marginal Zone*;
Mass Screening;
Middle Aged;
Mucous Membrane;
Recurrence;
Stomach*;
Thorax
- From:The Korean Journal of Gastroenterology
2016;67(5):257-261
- CountryRepublic of Korea
- Language:English
-
Abstract:
Mucosa-associated lymphoid tissue (MALT) lymphoma is found in various organs as extranodal B cell lymphoma. The gastrointestinal tract is the most commonly involved extranodal site in MALT lymphoma. However, primary esophageal MALT lymphoma is very rare. In addition, few cases with metachronous gastric involvement have been reported. A 55-year-old man was diagnosed with MALT lymphoma by surveillance esophagogastroduodenoscopy. A 5 cm esophageal submucosal tumor-like lesion was incidentally revealed by screening esophagogastroduodenoscopy two years prior. Esophagogastroduodenoscopy showed a cylindrically elongated submucosal mass with normal overlying mucosa in the mid esophagus. He underwent surgery to confirm the diagnosis. The pathologic diagnosis was esophageal MALT lymphoma. He was treated with radiation, which achieved complete remission. Esophagogastroduodenoscopy and chest computed tomography were performed every three to six months, with no evidence of recurrence for 18 months. After 21 months, several elevated gastric erosions were found on the great curvature and posterior sides of the midbody and confirmed as MALT lymphoma pathologically. Here we report a case with MALT lymphoma metachronously involving the esophagus and stomach.
