Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Primary Malt Lymphoma of the Common Bile Duct

  • Cho, Young Hoon (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Byun, Jae Ho (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Jin Hee (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Lee, Seung Soo (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Hyoung Jung (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Lee, Moon-Gyu (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center)
  • Received : 2013.01.27
  • Accepted : 2013.03.27
  • Published : 2013.09.01
⟨ Previous Next ⟩

Abstract

Primary mucosa-associated lymphoid tissue (MALT) lymphoma arising in the common bile duct (CBD) is extremely rare. In our case of MALT lymphoma, CT and MRI showed long, segmental, irregular wall thickening of the CBD and minimal dilatation of the upstream bile duct. A preoperative diagnosis of cholangiocarcinoma was made, but histologic evaluation confirmed MALT lymphoma of the CBD. We herein present a rare case of MALT lymphoma of the CBD with CT and MRI findings.

Keywords

References

  1. Matasar MJ, Zelenetz AD. Overview of lymphoma diagnosis and management. Radiol Clin North Am 2008;46:175-198, vii https://doi.org/10.1016/j.rcl.2008.03.005
  2. Isaacson P, Wright DH. Malignant lymphoma of mucosaassociated lymphoid tissue. A distinctive type of B-cell lymphoma. Cancer 1983;52:1410-1416 https://doi.org/10.1002/1097-0142(19831015)52:8<1410::AID-CNCR2820520813>3.0.CO;2-3
  3. Boccardo J, Khandelwal A, Ye D, Duke BE. Common bile duct MALT lymphoma: case report and review of the literature. Am Surg 2006;72:85-88
  4. Hayashi D, Devenney-Cakir B, Lee JC, Kim SH, Cheng J, Goldfeder S, et al. Mucosa-associated lymphoid tissue lymphoma: multimodality imaging and histopathologic correlation. AJR Am J Roentgenol 2010;195:W105-W117 https://doi.org/10.2214/AJR.09.4105
  5. Hwang DW, Lim CS, Jang JY, Lee SE, Yoon SO, Jeon YK, et al. Primary hematolymphoid malignancies involving the extrahepatic bile duct or gallbladder. Leuk Lymphoma 2010;51:1278-1287 https://doi.org/10.3109/10428194.2010.483300
  6. Kang CS, Lee YS, Kim SM, Kim BK. Primary low-grade B cell lymphoma of mucosa-associated lymphoid tissue type of the common bile duct. J Gastroenterol Hepatol 2001;16:949-951 https://doi.org/10.1046/j.1440-1746.2001.2379e.x
  7. Yoon MA, Lee JM, Kim SH, Lee JY, Han JK, Choi BI, et al. Primary biliary lymphoma mimicking cholangiocarcinoma: a characteristic feature of discrepant CT and direct cholangiography findings. J Korean Med Sci 2009;24:956-959 https://doi.org/10.3346/jkms.2009.24.5.956
  8. Montalban C, Castrillo JM, Abraira V, Serrano M, Bellas C, Piris MA, et al. Gastric B-cell mucosa-associated lymphoid tissue (MALT) lymphoma. Clinicopathological study and evaluation of the prognostic factors in 143 patients. Ann Oncol 1995;6:355-362
  9. Cavalli F, Isaacson PG, Gascoyne RD, Zucca E. MALT Lymphomas. Hematology Am Soc Hematol Educ Program 2001:241-258
  10. Dote H, Ohta K, Nishimura R, Teramoto N, Asagi A, Nadano S, et al. Primary extranodal non-Hodgkin's lymphoma of the common bile duct manifesting as obstructive jaundice: report of a case. Surg Today 2009;39:448-451 https://doi.org/10.1007/s00595-008-3894-4
  11. Nguyen GK. Primary extranodal non-Hodgkin's lymphoma of the extrahepatic bile ducts. Report of a case. Cancer 1982;50:2218-2222 https://doi.org/10.1002/1097-0142(19821115)50:10<2218::AID-CNCR2820501041>3.0.CO;2-4
  12. Joo YE, Park CH, Lee WS, Kim HS, Choi SK, Cho CK, et al. Primary non-Hodgkin's lymphoma of the common bile duct presenting as obstructive jaundice. J Gastroenterol 2004;39:692-696
  13. Mani H, Climent F, Colomo L, Pittaluga S, Raffeld M, Jaffe ES. Gall bladder and extrahepatic bile duct lymphomas: clinicopathological observations and biological implications. Am J Surg Pathol 2010;34:1277-1286 https://doi.org/10.1097/PAS.0b013e3181e9bb8b
  14. Park MS, Kim TK, Kim KW, Park SW, Lee JK, Kim JS, et al. Differentiation of extrahepatic bile duct cholangiocarcinoma from benign stricture: findings at MRCP versus ERCP. Radiology 2004;233:234-240 https://doi.org/10.1148/radiol.2331031446
  15. MacCarty RL, LaRusso NF, Wiesner RH, Ludwig J. Primary sclerosing cholangitis: findings on cholangiography and pancreatography. Radiology 1983;149:39-44 https://doi.org/10.1148/radiology.149.1.6412283
  16. Gulliver DJ, Baker ME, Putnam W, Baillie J, Rice R, Cotton PB. Bile duct diverticula and webs: nonspecific cholangiographic features of primary sclerosing cholangitis. AJR Am J Roentgenol 1991;157:281-285 https://doi.org/10.2214/ajr.157.2.1906678
  17. Kang HG, Choi JS, Seo JA, Moon SS, Kim JH, Jee SR, et al. [A case of primary biliary malignant lymphoma mimicking Klatskin tumor]. Korean J Gastroenterol 2009;54:191-195 https://doi.org/10.4166/kjg.2009.54.3.191
  18. Lim HS, Jeong YY, Shen YL, Kang HK, Cho CK. CT and MRI findings of primary non-Hodgkin's lymphoma of the common bile duct mimicking cholangiocarcinoma. AJR Am J Roentgenol 2004;182:1608-1609 https://doi.org/10.2214/ajr.182.6.1821608

Cited by

  1. Primary Biliary Mucosa-associated Lymphoid Tissue Lymphoma Mimicking Hilar Cholangiocarcinoma vol.68, pp.2, 2016, https://doi.org/10.4166/kjg.2016.68.2.114