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Renal MALT lymphoma associated with Waldenström macroglobulinemia.
[waldenström macroglobulinemia]
Mucosa
associated
lymphoid
tissue
lymphoma
(
MALT
lymphoma
)
is
mostly
seen
in
the
gastrointestinal
tract
;
origin
from
the
kidney
is
extremely
rare
.
Waldenström
macroglobulinemia
(
WM
)
is
a
clinicopathologic
syndrome
denoted
by
the
presence
of
monoclonal
gammopathy
in
the
serum
,
typically
caused
by
lymphoproliferative
disorder
.
Literature
review
did
not
find
any
report
of
renal
MALT
lymphoma
accompanied
by
WM
.
Herein
,
for
the
first
time
,
we
report
a
72
year
-old
female
patient
with
a
history
of
chronic
kidney
disease
,
presenting
with
solitary
renal
mass
;
MALT
lymphoma
was
confirmed
by
pathological
examination
.
A
serology
study
identified
the
presence
of
WM
.
No
manifestation
of
hyperviscosity
syndrome
was
noted
.
Bone
marrow
biopsy
disclosed
the
concurrent
systemic
involvement
.
Her
treatment
response
was
uneventful
and
the
renal
mass
responded
with
regressive
change
in
size
after
chemotherapy
.
The
renal
function
remained
stable
during
follow-up
.
MALT
lymphoma
should
be
considered
as
an
underlying
pathology
of
isolated
renal
mass
.
Furthermore
,
patients
with
MALT
lymphoma
should
be
screened
for
Waldenström
macroglobulinemia
and
hyperviscosity
syndrome
.
Diseases
Validation
Diseases presenting
"solitary renal mass"
symptom
waldenström macroglobulinemia
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