Mucosa-associated lymphoid tissue lymphoma in labial minor salivary glands - case report and literature review

Authors

  • Marina Kimie Oba University of São Paulo
  • Leandro Dorigan de-Macedo University of São Paulo
  • Ana Carolina Fragoso Motta University of São Paulo
  • Hilton Marcos Alves Ricz University of São Paulo
  • Luiz Carlos Conti de-Freitas University of São Paulo
  • Fabiano Pinto Saggioro Sao Paulo University
  • Lara Maria Alencar Ramos Innocentini University of São Paulo

DOI:

https://doi.org/10.5935/2525-5711.20190008

Keywords:

Minor Salivary Glands, Marginal Lymphoma B-Cell, Treatment Outcome

Abstract

Mucosa-associated lymphatic tissue (MALT) lymphomas commonly occur in the stomach however, rare cases of MALT lymphomas involve the minor salivary gland. We did a literature review and described the fourth case in the English literature of adults affected by a MALT lymphoma in the lip. A 68-year-old woman with probable primary Sjögren’s syndrome (SS) was referred to our dentistry and stomatology service, complaining that her lower lip had progressively thickened during the past 4 years. An incisional biopsy was performed, and the microscopic examination showed a dense, diffuse lymphoplasmacytic infiltration of the salivary glands, with plasmacytic differentiation. The immunohisto- chemical analysis revealed diffuse positivity of the neoplastic cells for CD20 and BCL-2; the plasma cells were positive for CD138 and Lambda, which was consistent with MALT lymphoma. SS and Immunoglobulin G4-related disease were excluded. The total regression of the lesion was obtained after treatment with surgery, chemotherapy, and radiotherapy.

Author Biographies

Marina Kimie Oba, University of São Paulo

Dentistry and Stomatology Division, Ribeirao Preto Clinical Hospital, Ribeirao Preto School of Medicine

Leandro Dorigan de-Macedo, University of São Paulo

Dentistry and Stomatology Division, Ribeirao Preto Clinical Hospital, Ribeirao Preto School of Medicine

Ana Carolina Fragoso Motta, University of São Paulo

School of Dentistry of Ribeirao Preto, Department of Stomatology, Public Oral Health and Forensic Dentistry

Hilton Marcos Alves Ricz, University of São Paulo

Medical School of Ribeirao Preto, Department of Ophthalmology, Otolaryngology and Head and Neck Surgery

Luiz Carlos Conti de-Freitas, University of São Paulo

Medical School of Ribeirao Preto, Department of Ophthalmology, Otolaryngology and Head and Neck Surgery

Fabiano Pinto Saggioro, Sao Paulo University

Department of Pathology and Forensic Medicine, Ribeirao Preto Clinical Hospital, Ribeirao Preto School of Medicine

Lara Maria Alencar Ramos Innocentini, University of São Paulo

Dentistry and Stomatology Division, Ribeirao Preto Clinical Hospital, Ribeirao Preto School of Medicine

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Published

2019-01-15

How to Cite

1.
Oba MK, de-Macedo LD, Motta ACF, Ricz HMA, de-Freitas LCC, Saggioro FP, et al. Mucosa-associated lymphoid tissue lymphoma in labial minor salivary glands - case report and literature review. J Oral Diagn [Internet]. 2019 Jan. 15 [cited 2024 Nov. 15];4:1-5. Available from: https://joraldiagnosis.com/revista/article/view/126

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Section

Case Report