Perplexity of Preoperative Multimodal Investigations in a Case of Parotid MALToma

Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):2529-2533. doi: 10.1007/s12070-023-03811-4. Epub 2023 Apr 27.

Abstract

Mucosa-associated lymphoid tissue(MALT) lymphoma is a distinct subtype of lymphoma, presenting as a diffuse gland involvement or a discrete mass. Pre-operative diagnosis is a challenge as Fine Needle Aspiration Cytology is often inconclusive and presently no radiological investigation is confirmatory, therefore final diagnosis is made after surgical resection and immunohistopathology. We report a case of MALT lymphoma, which clinically presented as a unilateral large diffuse swelling of the parotid gland with a diagnostic dilemma eventually underwent total parotidectomy to be finally diagnosed as MALT lymphoma of parotid gland and received field radiotherapy with complete cure and no recurrence in a 2-year follow-up.

Keywords: Extranodal Marginal Zone Lymphoma; Non-Hodgkin’s Lymphoma; Parotid MALToma; Parotid gland.