title: Primary pulmonary mucosa-associated lymphoid tissue lymphoma combined with idiopathic thrombocytopenic purpura and amyloidoma in the lung.
abstract: Three abnormal shadows were detected in the right lung on chest X-ray films and computed tomography in a 75-year-old woman during follow-up for idiopathic thrombocytopenic purpura. Because a definitive diagnosis was not obtained through general examinations, exploratory thoracotomy was performed for diagnosis and treatment. The main lesion in the right middle lobe was diagnosed as mucosa-associated lymphoid tissue (MALT) lymphoma according to histopathological findings, cytogenic studies and reverse transcriptase-polymerase chain reaction analysis, and nodular lesions in S(3) and S(7) were diagnosed with Congo-red staining as local deposition of amyloid. The patient had no recurrence of the MALT lymphoma of the lung or other organs for 4 years after surgery. To our knowledge, this is the first reported case of primary pulmonary MALT lymphoma combined with idiopathic thrombocytopenic purpura/lung amyloidoma.
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Nippon Medical School, Tokyo, Japan. tkawa@nms.ac.jp
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Kawashima
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Nishimura
authors.forename: Hirohiko
authors.initials: H
authors.lastname: Akiyama
authors.forename: Kyoji
authors.initials: K
authors.lastname: Hirai
authors.forename: Shigeki
authors.initials: S
authors.lastname: Yamagishi
authors.forename: Daisuke
authors.initials: D
authors.lastname: Okada
authors.forename: Hiroyasu
authors.initials: H
authors.lastname: Kinoshita
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Enomoto
authors.forename: Junichi
authors.initials: J
authors.lastname: Okamoto
authors.forename: Yuki
authors.initials: Y
authors.lastname: Nakajima
authors.forename: Shingo
authors.initials: S
authors.lastname: Takeuchi
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Iijima
authors.forename: Ken
authors.initials: K
authors.lastname: Furuhata
authors.forename: Keisuke
authors.initials: K
authors.lastname: Nakayama
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Izumo
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Koizumi
authors.forename: Kazuo
authors.initials: K
authors.lastname: Shimizu
mesh_terms: D000368:Aged; D000686:Amyloidosis / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000150:complications*; D008175:Lung Neoplasms / Q000150:complications* / Q000473:pathology; D018442:Lymphoma, B-Cell, Marginal Zone / Q000150:complications* / Q000473:pathology; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications*; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed