Massive crystal-storing histiocytosis associated with low-grade malignant B-cell lymphoma of MALT-type of the parotid gland

Diagn Cytopathol. 1997 Aug;17(2):148-52. doi: 10.1002/(sici)1097-0339(199708)17:2<148::aid-dc12>3.0.co;2-g.

Abstract

Massive crystal deposition is unusual in lymphoproliferative disorders. In this report, a mucosa-associated lymphoid tissue (MALT) low-grade B-cell lymphoma of the parotid gland containing large numbers of crystal-storing histiocytes is described. The patient, an 81-yr-old female, presented with a history of long-standing left parotid gland enlargement. FNA cytology of the tumor showed a lymphoplasmacytic infiltrate and sheets of large benign histiocytes with abundant eosinophilic intracytoplasmic inclusions. Paraffinsection immunohistochemistry performed on the cell block demonstrated that the histiocytic cells were immunoreactive for the KP-1 (CD-68) antibody and monotypic for cytoplasmic IGM and L-light chain. The cytological diagnosis was consistent with a low-grade B-cell lymphoma with plasmacytic differentiation associated with crystal-storing histiosis. A periparotid lymph node was biopsied and showed involvement by a monocytoid B-cell lymphoma with plasmacytic differentiation and crystal-storing histiocytosis in the pericapsular region.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Antigens, CD / analysis
  • Antigens, Differentiation, Myelomonocytic / analysis
  • Biopsy, Needle
  • Crystallization
  • Female
  • Histiocytes / chemistry
  • Histiocytes / pathology
  • Histiocytosis / complications
  • Histiocytosis / metabolism
  • Histiocytosis / pathology*
  • Humans
  • Immunoglobulin Light Chains / analysis
  • Immunoglobulin M / analysis
  • Immunohistochemistry
  • Lymphoma, B-Cell, Marginal Zone / chemistry
  • Lymphoma, B-Cell, Marginal Zone / pathology*
  • Parotid Neoplasms / chemistry
  • Parotid Neoplasms / pathology*

Substances

  • Antigens, CD
  • Antigens, Differentiation, Myelomonocytic
  • CD68 antigen, human
  • Immunoglobulin Light Chains
  • Immunoglobulin M