Primary mucosa-associated lymphoid tissue lymphoma of the esophagus, manifesting as a submucosal tumor

Korean J Gastroenterol. 2013 Aug 25;62(2):117-21. doi: 10.4166/kjg.2013.62.2.117.

Abstract

We report a case of primary mucosa-associated lymphoid tissue (MALT) lymphoma in the esophagus that manifested as a large submucosal tumor (SMT). Primary esophageal lymphoma is very rare, occurring in less than 1% of all patients with gastrointestinal lymphoma. Only a few cases of MALT lymphoma in the esophagus have been reported in the English literature. A 53-year-old man was referred to Dongguk University Ilsan Hospital (Goyang, Korea) in July 2012 for further evaluation and treatment of an esophageal SMT. Endoscopy showed a cylindrically elongated submucosal mass with normal overlying mucosa in the mid esophagus, 25-30 cm from the incisor teeth. He underwent surgery to confirm the diagnosis. Pathologic findings showed diffuse small atypical lymphoid cells which were stained with Bcl-2, CD20, but not with CD3, CD5, CD23, Bcl-6, or cyclin D1. These cells showed a positive monoclonal band for immunoglobulin heavy chain gene rearrangement. Based on the pathological, immunohistochemical, and molecular biological features, the esophageal mass was diagnosed as extranodal marginal zone B-cell lymphoma of the MALT type.

Publication types

  • Case Reports

MeSH terms

  • Antigens, CD20 / metabolism
  • Bone Marrow / pathology
  • Esophageal Neoplasms / diagnosis*
  • Esophageal Neoplasms / pathology
  • Esophageal Neoplasms / surgery
  • Gastroscopy
  • Humans
  • Immunohistochemistry
  • Lymphoma, B-Cell, Marginal Zone / diagnosis*
  • Lymphoma, B-Cell, Marginal Zone / pathology
  • Lymphoma, B-Cell, Marginal Zone / surgery
  • Male
  • Middle Aged
  • Mucous Membrane / pathology
  • Proto-Oncogene Proteins c-bcl-2 / metabolism
  • Tomography, X-Ray Computed

Substances

  • Antigens, CD20
  • Proto-Oncogene Proteins c-bcl-2