Primary renal mucosa-associated lymphoid tissue lymphoma coexisting with immune thrombocytopenia

Abstract Background Primary renal mucosa-associated lymphoid tissue (MALT) lymphoma is exceedingly rare. Although immune thrombocytopenia (ITP) may accompany lymphoproliferative disorders, its association with primary renal MALT lymphoma has not been previously reported. Case presentation A 60-year-...

Full description

Saved in:
Bibliographic Details
Main Authors: Jiatai He, Changqi Deng, Yu Huang, Miao Wang, Chengcheng Wei, Feixiang Xu, Ruokang Chen, Junduo Wang, Ming Yang, Zhaohui Chen
Format: Article
Language:English
Published: BMC 2025-07-01
Series:World Journal of Surgical Oncology
Subjects:
Online Access:https://doi.org/10.1186/s12957-025-03916-w
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Background Primary renal mucosa-associated lymphoid tissue (MALT) lymphoma is exceedingly rare. Although immune thrombocytopenia (ITP) may accompany lymphoproliferative disorders, its association with primary renal MALT lymphoma has not been previously reported. Case presentation A 60-year-old male presenting with isolated thrombocytopenia was diagnosed with ITP during hematologic evaluation. Abdominal imaging incidentally revealed an 8.7 × 5.6 cm renal mass. Glucocorticoid therapy successfully stabilized platelet counts, enabling nephroureterectomy. Histopathological analysis demonstrated dense small lymphocyte infiltrates, with immunohistochemical confirmation of CD20 and Bcl-2 positivity establishing a diagnosis of MALT lymphoma. At six-month follow-up, the patient maintained disease-free status without adjuvant therapy. Conclusions We report a rare case of concurrent primary renal MALT lymphoma and ITP, achieving sustained remission through glucocorticoid therapy and surgical resection.
ISSN:1477-7819