Anales de Medicina Interna
versión impresa ISSN 0212-7199
DOLZ ASPAS, R. et al. Fluctuant pulmonary nodules as presentation of a MALT lymphoma. An. Med. Interna (Madrid) [online]. 2003, vol.20, n.11, pp.34-36. ISSN 0212-7199.
Mucosa associated lymphoid tissue (MALT) lymphomas are a group of non- Hodgkins lymphomas of low malignancy degree. The most frequent location is the gastrointestinal tract. Its primary pulmonary presentation is unusual and heterogeneous from point of view radiological. Woman 61 years old with antecedents of vitiligo, gastric ulcus, cirrhosis by VHC, that go into the hospital by sudden disnea, thoracic paint with pleural characterises and fever of 38.5º C, Her thorax radiography and thoracic TAC showed nodes that affect to different pulmonary lobes. The cytology by PAAF confirms their malignant nature. In subsequent radiological controls it was notice the nodels took away completely and returns in different pulmonary place in each recurrence. The presentation like fluctuant pulmonary nodes is exceptional in a MALT lymphoma. It was described a higher incidence of VHC infection and tumour. The evidence of chronic hepatitis by virus C disease, and local chronic inflammatory process as well as autoimmune disorders may be considerate like a factor that contribute to MALT lymphoma.
Palabras clave : MALT lymphoma; Fluctuants pulmonary nodels; Primary pulmonar lymphoma.