Pulmonology Pulmonology
Rev Port Pneumol 2007;13:137-42 - Vol. 13 Num.1 DOI: 10.1016/S0873-2159(15)30342-1
Caso Clínico / Clinical Case
Linfoma MALT do pulmão – Uma forma rara de linfoma
Pulmonary MALT lymphoma – A rare form of lymphoma
João Meneses Santos1, Raed Zakout2, Carlos Ferreira3, Maria João Palhano4, Rui M.M. Victorino5
1 Assistente Hospitalar Graduado de Medicina Interna – Serviço de Medicina 2 do HSM
2 Interno do Internato Complementar de Medicina Interna – Serviço de Medicina 2 do HSM
3 Chefe de Serviço de Medicina Interna – Serviço de Medicina 2 do HSM / Professor Auxiliar da Faculdade de Medicina de Lisboa
4 Assistente Hospitalar Graduada de Anatomia Patológica – Serviço de Anatomia Patológica do HSM
5 Director do Serviço de Medicina 2 do Hospital de Santa Maria / Professor Catedrático da Faculdade de Medicina de Lisboa
Received 27 July 2006, Accepted 27 September 2006
Resumo

Os autores apresentam um caso de linfoma MALT do pulmão numa doente assintomática mas com imagens radiológicas exuberantes, cujo diagnóstico só foi possível por biópsia pulmonar cirúrgica obtida por toracoscopia assistida por vídeo, após a ineficácia da biópsia pulmonar transbrônquica e da punção aspirativa transtorácica. Descrevem os aspectos clínicos e radiológicos daquela forma de linfoma, salientando a possibilidade de expressão assintomática prolongada e discutem problemas de diagnóstico, prognóstico e terapêutica.

Rev Port Pneumol 2007; XIII (1): 137-142

Abstract

The authors report a case of pulmonary MALT lymphoma in an asymptomatic patient with a chest radiograph showing bilateral infiltrates. The diagnosis was made by surgical lung biopsy performed by videoassisted thoracoscopy. The transbronchial lung and the transthoracic core-needle biopsies were non-diagnostic. The clinical and radiological features of the pulmonary MALT lymphoma are described and relevant diagnostic, prognostic and treatment factors are discussed.

Rev Port Pneumol 2007; XIII (1): 137-142

Palavras-chave
Linfoma MALT, linfoma MALT do pulmão, biópsia pulmonar cirúrgica
Key-words
MALT lymphoma, pulmonary MALT lymphoma, surgical lung biopsy
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Copyright © 2007. Sociedade Portuguesa de Pneumologia/SPP
Rev Port Pneumol 2007;13:137-42 - Vol. 13 Num.1 DOI: 10.1016/S0873-2159(15)30342-1
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