MALT lymphoma of the palatal minor salivary Grand in patient with Sjögren's syndrome: A case report

Q3 Dentistry
Harusachi Kanazawa , Kohei Kawasaki , Isao Miyamoto , Atsusi Kasamatsu , Katsuhiro Uzawa , Masashi Fukuyama
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引用次数: 0

Abstract

We present a quite rare case of MALT lymphoma originating from the palatal minor salivary gland in a 37-year-old woman with Sjögren's syndrome (SS). She underwent an excision biopsy and definite diagnosis of MALT lymphoma was obtained on the basis of microscopic finding with lymphoepithelial lesion, immunohistochemistry positive for CD20 and negative for CD3, CD5, cycclinD1, and detection of immunoglobulin light chain restriction with kappa light-chain restricted monoclonality. MALT lymphoma is considered in the differential diagnosis of a painless, non-ulcerative palatal swelling. In this case, SS remained undiagnosed until after MALT lymphoma diagnosis. Patients with MALT lymphoma in the minor salivary glands need to be investigated for SS even if there is no clinical symptom of SS. Surgical excision can be recommended in case of limited stages resulting in good prognosis.

Sjögren综合征患者腭小唾液腺MALT淋巴瘤1例
我们报告了一例非常罕见的MALT淋巴瘤,起源于一名37岁的干燥综合征(SS)女性的腭小唾液腺。她接受了切除活组织检查,根据淋巴上皮病变的显微镜发现,CD20免疫组织化学阳性,CD3、CD5、cycclinD1阴性,以及κ轻链限制性单克隆抗体检测免疫球蛋白轻链限制,获得了MALT淋巴瘤的明确诊断。MALT淋巴瘤被认为是无痛、非溃疡性腭部肿胀的鉴别诊断。在这种情况下,直到MALT淋巴瘤诊断后,SS仍未得到诊断。即使没有SS的临床症状,小唾液腺MALT淋巴瘤患者也需要进行SS调查。在分期有限、预后良好的情况下,可以建议进行手术切除。
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来源期刊
Oral and Maxillofacial Surgery Cases
Oral and Maxillofacial Surgery Cases Medicine-Otorhinolaryngology
CiteScore
0.60
自引率
0.00%
发文量
43
审稿时长
69 days
期刊介绍: Oral and Maxillofacial Surgery Cases is a surgical journal dedicated to publishing case reports and case series only which must be original, educational, rare conditions or findings, or clinically interesting to an international audience of surgeons and clinicians. Case series can be prospective or retrospective and examine the outcomes of management or mechanisms in more than one patient. Case reports may include new or modified methodology and treatment, uncommon findings, and mechanisms. All case reports and case series will be peer reviewed for acceptance for publication in the Journal.
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