A Case of MALT Lymphoma in Parotid Gland Duct.

Kim, Ki Yup; Yang, Won Yong; Kwon, Seok Min; Kang, Sang Yoon

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2009;36(5):663-666.
Published online September 1, 2009.

A Case of MALT Lymphoma in Parotid Gland Duct.

Ki Yup Kim, Won Yong Yang, Seok Min Kwon, Sang Yoon Kang

Department of Plastic and Reconstructive Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. sykang@khmc.or.kr

Abstract

PURPOSE
Primary malignant lymphomas of the salivary glands are uncommon. The parotid gland was most frequently involved, followed by the submandibular gland, minor salivary gland and sublingual gland. The most common subtype is mucosa-associated lymphoid tissue (MALT) lymphoma. We experienced a case of salivary MALT lymphoma involving parotid gland duct, so report a case with a review of the literature. METHODS: A 65 year old female presented with a palpable mass on the left side of her cheek. There was no clinical or laboratory evidence of pre-existing autoimmune disease. Preoperative facial and neck CT with contrast showed 2.1x1.7cm sized, ill defined, homogeneous low density mass near left masseter muscle, and no evidence of other enlarged lymph nodes.
RESULTS
At operation, a yellowish oval shaped mass was found slightly adhered to middle portion of the parotid gland duct, measuring 2x1.5x0.7cm. Microscopic finding showed that centrocyte-like cells, monocyte B cells and plasma cells were diffusely infiltrated. Immunophenotyping was preformed on fixed section. The majority of the small cells were immunoreactive for the B cell marker CD20. Based on the typical histological findings supported by immunostaining, the mass was defined as MALT lymphoma.
CONCLUSION
We report a very rare case of MALT lymphoma involving parotid gland duct in 65 year old female patient with clinical characteristics, histologic features and references.

Keywords: Mucosa associated lymphoid tissue(MALT) lymphoma; Parotid gland duct