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Transformed diffuse large B-cell lymphoma from marginal zone lymphoma in the anterior mediastinum: A case report and review of the literature
Authors:Wataru Kitamura  Noboru Asada  Tetsuya Tabata  Rei Shibata  Tatsuya Nishi  Yuka Kato  Hiroki Takasuka  Hideaki Fujiwara  Daisuke Ennishi  Hisakazu Nishimori  Nobuharu Fujii  Ken-ichi Matsuoka  Katsuyuki Kiura  Tadashi Yoshino  Yoshinobu Maeda
Abstract:
Marginal zone lymphoma (MZL) arising from the anterior mediastinum is rare. In the majority of reported cases, the tumor was incidentally discovered, reflecting its indolent clinical features. We present a 38-year-old woman who had no medical history, and presented with a bulky anterior mediastinal tumor complicated by life-threatening compression of the vasculature and bronchi. Biopsy specimens of the neoplasm suggested transformed diffuse large B-cell lymphoma (DLBCL) from MZL. To our best knowledge, this is the first case report of anterior mediastinum MZL associated with an aggressive clinical course and life-threatening complications likely due to transformation to DLBCL.
Keywords:marginal zone lymphoma   diffuse large B-cell lymphoma   anterior mediastinum   cystic lesions
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