The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2007;73(2):228-232.
증례 : 류마티스 관절염 환자에서 발생한 Bronchus-Associated Lymphoid Tissue (BALT) 림프종 1예
기성호, 권성렬, 강상용, 박인서, 임미진, 박현주, 박 원,
A case of bronchus-associated lymphoid tissue (BALT) lymphoma in the patient with rheumatoid arthritis
Sung-Ho Ki, Seong Ryul Kwon, Sang Yong Kang, In Suh Park, , Mie Jin Lim, Hyun Joo Park, Won Park
경희대학교 의과대학 순환기내과학교실


Abstract
Bronchus-associated lymphoid tissue (BALT) lymphoma is a rare disorder and it is a characteristic subgroup of low-grade B-cell extranodal non-Hodgkin's lymphoma that is classified as marginal zone lymphoma. We report here on a patient with rheumatoid arthritis who developed BALT lymphoma. She had no pulmonary symptoms and the pulmonary nodules were incidentally detected by routine chest radiography. Chest CT showed a 2.8cm sized ill-defined focal consolidation of homogenous attenuation in the posterobasal segment of the right lower lobe. The histological diagnosis from the wedge resection specimen revealed low grade B cell lymphoma of BALT. To the best of our knowledge, this case is the first to report BALT lymphoma that developed in a Korean patient with rheumatoid arthritis. BALT lymphoma should be included in the differential diagnosis of the pulmonary nodules in patients with rheumatoid arthritis.(Korean J Med 73:228-232, 2007)

Keywords :BALT Lymphoma, Rheumatoid Arthritis, Pulmonary Nodule
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