Primary Bronchus-Associated Lymphoid Tissue (BALT) Lymphoma

Abstract

Primary Bronchus-Associated Lymphoid Tissue (BALT) Lymphoma Bronchus-associated lymphoid tissue (BALT) lymphoma is a rare extra-nodal marginal zone lymphoma representing 0.5% of lung tumours. In order to share experience in the management of BALT lymphoma, we report a well-investigated case with unusual features as complex familial oncologic history and synchronous benign thyroid disease. The patient was a 44-year-old woman with prolonged unspecific respiratory complaints. By computed tomography (CT), bilateral atelectasis-like pulmonary lesions were found in the 3rd, 5th, 6th and 8th segments of the right lung and in the 3rd segment of the left lung. We performed diagnostic video-assisted wedge resection of the 5th segment of right lung. Pathologic and immunohistochemical examination yielded the diagnosis of BALT lymphoma. After staging by bone marrow biopsy and abdominal CT, chemotherapy was recommended by the oncologic council.