Arch Craniofac Surg.  2019 Mar;20(1):66-70. 10.7181/acfs.2018.02145.

Mucosa-associated lymphoid tissue lymphoma on right lower eyelid previously diagnosed as lymphoid hyperplasia

• Kim YS
• Na YC
• Huh WH
• Kim JM

• KMID: 2441944
• DOI: http://doi.org/10.7181/acfs.2018.02145

Abstract

Mucosa-associated lymphoid tissue (MALT) lymphoma is an uncommon form of non-Hodgkin lymphoma involving the mucosa-associated lymphoid tissue. Most commonly affected organ is the stomach. But, it could affect almost every organ in the whole body. If they have suspicious lesion, excision biopsy could be made. For staging, blood test including blood smear, abdomen and chest tomography or scan will be checked. Also, bone marrow test can be done if it is needed. The patient had visited the clinic for palpable mass on right lower eyelid. With excisional biopsy, it was diagnosed as lymphoid hyperplasia on pathologic test. But 2 years later, the patient came with recurrent symptom for our department with worry. At that time, we recommended excisional soft tissue biopsy under general anesthesia. Unfortunately, it was revealed MALT lymphoma on pathologic finding. It turned out to be stage 3 in Ann Arbor staging system without B symptoms. Hematologic consultation was made and she was treated with adjuvant chemotherapy for eight cycles to complete remission. We report a case of MALT lymphoma on subcutaneous tissue at right lower eyelid previously diagnosed as lymphoid hyperplasia.

Keyword

Lymphoid hyperplasia; Mucosa-associated lymphoid tissue; Non-Hodgkin lymphoma

MeSH Terms

Abdomen
Anesthesia, General
Biopsy
Bone Marrow
Chemotherapy, Adjuvant
Eyelids*
Hematologic Tests
Humans
Hyperplasia*
Lymphoid Tissue
Lymphoma
Lymphoma, B-Cell, Marginal Zone*
Lymphoma, Non-Hodgkin
Stomach
Subcutaneous Tissue
Thorax