Pulmonary Nodular Lymphoid Hyperplasia Evaluated with Bronchoalveolar Lavage Fluid Findings: A Case Report and Review of the Literature on Japanese Patients

Intern Med. 2023;62(1):95-102. doi: 10.2169/internalmedicine.9310-21. Epub 2023 Jan 1.

Abstract

Pulmonary nodular lymphoid hyperplasia (PNLH) is a very rare disease, and it is difficult to diagnose PNLH and distinguish it from mucosa-associated lymphoid tissue (MALT) lymphoma. In addition, information on bronchoalveolar lavage fluid (BALF) analyses is lacking. We herein report a 36-year-old Japanese woman diagnosed with PLNH by a surgical biopsy and analysis of BALF. The BALF showed an increase in B-cell marker-positive lymphocytes, normal patterns of B-cell clonality, mucosa-associated lymphoid tissue 1 gene, and immunoglobulin heavy chain at 14q32 translocations. We also reviewed Japanese cases of PNLH described in Japanese or English to explore the characteristics of such cases.

Keywords: bronchoalveolar lavage fluid; gene translocation; immunoglobulin heavy chain; mucosa-associated lymphoid tissue lymphoma; pulmonary nodular lymphoid hyperplasia.

Publication types

  • Review
  • Case Reports

MeSH terms

  • Adult
  • Bronchoalveolar Lavage Fluid
  • East Asian People
  • Female
  • Humans
  • Hyperplasia / diagnosis
  • Lung Diseases* / diagnosis
  • Lung Diseases* / pathology
  • Lymphoma, B-Cell, Marginal Zone* / pathology