Radiology Case Reports (Jan 2024)

Extranodal marginal zone lymphoma: A case report

  • Walter Camilo Mera Romo,
  • Wilmer Orlando Aponte Barrios,
  • Jorge Alberto Carrillo Bayona,
  • Karen Yuliana Ramírez Iriarte,
  • Luisa Fernanda Gómez Galvis

Journal volume & issue
Vol. 19, no. 1
pp. 12 – 16

Abstract

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Non-Hodgkin lymphomas (NHLs) encompass a diverse range of lymphoproliferative neoplasms. Approximately 85%-90% of NHLs originate from mature B lymphocytes, with the remaining arising from T lymphocytes or natural killer (NK) cells. Notably, NHLs exhibit a pronounced extranodal predilection, with nearly 25% presenting in such locations. In developed countries, the most prevalent NHL subtypes are diffuse large B-cell lymphoma (accounting for 30%) and follicular lymphoma (representing 20%). All other NHL subtypes each constitute less than 10% of cases, including the rarer marginal zone lymphoma (MZL).We present a case involving a 70-year-old woman who experienced a palpable mass in the right hypochondrium. She displayed no peripheral adenopathies or systemic symptoms. Her diagnosis was established as MZL, posing a diagnostic challenge due to imaging findings that mimicked various infectious, benign, and malignant conditions.

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