Mucosa-associated lymphoid tissue (MALT) lymphoma is a diagnostic challenge when arising from bronchiolar submucosal tissue. The case herein describes a man with a lung mass and a remote history of gastric MALT lymphoma. After undergoing a bronchoscopic examination and tissue sampling, he was diagnosed with pulmonary recurrence of gastric MALT lymphoma. The diagnosis of MALT lymphoma in the lung can be challenging. Radiographic findings are typically nonspecific, and tissue biopsy by surgical means is often required. The diagnosis of bronchus-associated lymphoid tissue lymphoma has been previously demonstrated bronchoscopically when a needle aspiration is performed. This case supports the position that bronchoscopy with needle aspiration, and flow cytometry should be performed in all patients in whom pulmonary MALT lymphoma is suspected.
*Medical Service, G.V. (Sonny) Montgomery VA Medical Center, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Mississippi Medical Center
†Pathology and Medical Laboratory Service, G.V. (Sonny) Montgomery VA Medical Center, Jackson, MS
Disclosure: There is no conflict of interest or other disclosures.
Reprints: George E. Abraham, III, MD, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Mississippi Medical Center, Jackson, MS 39216 (e-mail: firstname.lastname@example.org).
Received July 5, 2012
Accepted July 20, 2012