Mantle cell lymphoma with endobronchial involvement: A case report

doi:10.12998/wjcc.v10.i8.2604

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World Journal of Clinical Cases

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Case Report

World J Clin Cases. Mar 16, 2022; 10(8): 2604-2609
Published online Mar 16, 2022. doi: 10.12998/wjcc.v10.i8.2604

Mantle cell lymphoma with endobronchial involvement: A case report

Yi-Zong Ding, Dao-Qiang Tang, Xiao-Jing Zhao

Yi-Zong Ding, Xiao-Jing Zhao, Department of Thoracic Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200127, China

Dao-Qiang Tang, Department of Pathology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200127, China

Author contributions: Ding YZ collected the clinical data and wrote the manuscript; Tang DQ analyzed the clinical data; and Zhao XJ designed the work; all authors read and approved the final manuscript.

Informed consent statement: A written informed consent was obtained from the patient included in this case report.

Conflict-of-interest statement: The authors declare that they have no competing interests.

CARE Checklist (2016) statement: We have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Corresponding author: Xiao-Jing Zhao, PhD, Chief Doctor, Department of Thoracic Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 160 Pujian Road, Shanghai 200127, China. 18133@renji.com

Received: October 2, 2021
Peer-review started: October 2, 2021
First decision: December 10, 2021
Revised: December 14, 2021
Accepted: February 10, 2022
Article in press: February 10, 2022
Published online: March 16, 2022
Processing time: 159 Days and 12.6 Hours

Abstract

BACKGROUND

Mantle cell lymphoma (MCL) is a subtype of Non-Hodgkin's lymphoma (NHL). MCL frequently affects extranodal sites while endobronchial involvement is uncommon. Only 5 cases of MCL with endobronchial involvement have been previously reported.

CASE SUMMARY

A 56-year-old male patient arrived at the hospital complaining of a dry cough. A mass in the right upper lobe of the lung was revealed in Chest computed tomography (CT). Right lung hilar and mediastinal lymphadenopathies were also found by CT scan. The patient was diagnosed with central-type lung cancer with multiple lymph node metastases after positron emission tomography (PET) CT scan examination. The fiber optic bronchoscope examination revealed diffuse neoplasm infiltration in the inlet of the right up lobar bronchus. The patient was finally diagnosed with MCL based on the bronchoscopy and mediastinoscopy biopsy results.

CONCLUSION

MCL could masquerade as central type lung cancer. An endobronchial biopsy examination is necessary for the early diagnosis of MCL.

Keywords: Mantle cell lymphoma; Endobronchial involvement; Central type lung cancer; Endobronchial biopsy; Bronchoscopy; Mediastinoscopy; Case report

Core Tip: We reported a case of mantle cell lymphoma (MCL) with endobronchial involvement. MCL with endobronchial involvement is very rare. Only five such cases have been previously reported. Positron emission tomography - computed tomography is recommended for differential diagnosis and detection of extranodal sites of MCL. A pathological diagnosis can be made based on an endobronchial biopsy by bronchoscopy but doctors should prompt efforts to establish enough tissues.