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2000, Number 3

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Cir Plast 2000; 10 (3)

Malt lymphoma in Gougerot Sjögren Syndrome

Gutiérrez GC, Andrade DL, López VD, Alfaro RJ, Nambo LMJ
Full text How to cite this article

Language: Spanish
References: 7
Page: 108-114
PDF size: 979.26 Kb.


Key words:

, Malt, Lymphoma, Sjögren.

ABSTRACT

Sjögren Syndrome is a chronicle autoimmune disease characterized by the triad of queratoconjuntivitis, xerostomy and arthritis. Sixty percent of patients have salivary glands hypertrophy known as Mikulicz disease. The objective of this paper is to make a case of type Malt lymphoma known, an extraganglionar one (salivary glands) fixed in a Sjögren Syndrome which does not reveal any symptoms, does not disclose any affected ganglia. The aesthetic parothydectomy in this case allowed an early diagnosis and treatment. The case of a 49-year-old female with a four-year evolution Sjögren Syndrome is reported. She asked her face appearance to be improved decreasing the parothyd volume. The preoperatory evaluation included parothyd ultrasound, as well as hematology and oncology evaluations. A left superficial parotidectomy was performed; the histopathologic report was a Malt type malignant lymphoma. The specialist this patient was referred to made the estadification and the patient received chemotherapy. A six-month and one year follow up and chemotherapy were offered. A plastic surgeon’s intervention in this case was determinate for an early diagnosis and treatment.


REFERENCES

  1. Moutsopoulos H. Síndrome de Sjögren. En: Harrison TR. Principios de Medicina Interna. México: McGraw-Hill 1999; Cap. 316: 2160-63.

  2. Lince E. Reumatología. En: Farreras V. Medicina Interna. Barcelona: Editorial Marín 1978; Capítulo 15: 962-63.

  3. Freedman A, Nadier L. Neoplasias de las células linfoides. En: Harrison TR. Principios de Medicina Interna. México: McGraw-Hill 1999; Cap. 113: 793-813.

  4. Biasi D, Mocella S, Caramaschi P et al. Utility and Safety of parotid gland biopsy in Sjögren Syndrome. Acta Otolaryngol (strockh) 1996; 116: 896-9.

  5. Haynes B, Fauci A. Trastornos del Sistema lnmunitario. En: Harrison TR. Principios de Medicina Interna. México: McGraw-Hill 1999; Cap. 305: 1991-2017.

  6. Sarris AH, Papadimitrakopoulou V, Dimopoulos MA et al. Primary parotid lymphoma. The effect of International Prognostic lndex on outcome. Leuk Lymphoma 1997; 26: 49-56.

  7. Cha I, Long SR, Ljüng BM, Miller TR. Low-grade lymphoma of mucosa associated tissue in the parotid gland: a case report of fine needle aspiration citology diagnosis using flow cytometric immunophenotyping. Diag Cytopathol 1997; 16: 345-9.




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Cir Plast. 2000;10