Non-Hodgkin lymphoma involving the parotid gland: CT and MR imaging findings

Dentomaxillofac Radiol. 2013;42(9):20130046. doi: 10.1259/dmfr.20130046. Epub 2013 Aug 23.

Abstract

Objectives: As an uncommon neoplasm, parotid non-Hodgkin lymphoma (NHL) comprises mucosa-associated lymphoid tissue (MALT) and non-MALT lymphomas. Both types of lymphoma vary in prognosis and treatment. The aim of this study was to explore CT and MRI characteristics of these two types of lymphoma.

Methods: 61 cases of parotid NHL, 34 MALT and 27 non-MALT lymphomas with histopathological confirmation were examined with routine CT and MR scans prior to treatment, and retrospectively reviewed.

Results: On CT and MRI, 34 MALT lymphomas presented with 11 solid and 23 solid-cystic forms, whereas 27 non-MALT lymphomas presented with 25 solid and 2 solid-cystic forms (p < 0.01).

Conclusions: Parotid MALT lymphoma is characterized mainly by the solid-cystic form, whereas non-MALT lymphoma is characterized mainly by the solid form. The differences on CT and MRI can offer helpful information for differentiation of both types of parotid NHL.

Keywords: computed tomography; magnetic resonance imaging; non-Hodgkin lymphoma; parotid gland.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Lymphoma, B-Cell, Marginal Zone / diagnostic imaging*
  • Lymphoma, B-Cell, Marginal Zone / pathology*
  • Lymphoma, Non-Hodgkin / diagnostic imaging*
  • Lymphoma, Non-Hodgkin / pathology*
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Parotid Neoplasms / diagnostic imaging*
  • Parotid Neoplasms / pathology*
  • Retrospective Studies
  • Sensitivity and Specificity
  • Tomography, X-Ray Computed