Keywords:
Haematologic, Head and neck, Salivary glands, Ultrasound, Ultrasound-Colour Doppler, Education, Haematologic diseases, Lymphoma
Authors:
F. Tulipano Di Franco, M. Lorenzon, A. Zabotti, S. Zandonella Callagher, E. Pegolo, C. Di Loreto, S. De Vita, R. Girometti, C. Zuiani; Udine/IT
DOI:
10.26044/ecr2021/C-10893
Results
The final sample was composed by 9 patients (8 females and 1 male, mean age 67,9 years) with MALT lymphoma diagnosed with US-guided CNB. All SGs were assessed as grade 3 according to OMERACT scoring system.
In 2/9 MALT lymphomas (22,2%) the main feature was the diffuse enlargement of the salivary gland, which had inhomogeneous appearance. 7/9 MALT lymphomas (77,8%) presented themselves as focal areas. Among focal lesions, 7/7 (100%) were very hypoechoic, with an inner appearance that was inhomogeneous in 5/7 (71,4%) and relatively homogenous in 2/7 (28,6%). 5/7 (71,4%) had an oval shape, while 2/7 (28,6%) were lobulated. 5/7 (71,4%) had well-defined margins while 2/7 (28,6%) had ill-defined margins. Internal hyperechoic septa were found in 3/7 (42,3%) cases. Enhanced vascularization was found in 5/7 (71,4%) cases. 7/7 (100%) showed a posterior acoustic enhancement. The US features of each lesion are reported in Fig 2. All these US features and their prevalence are summarized in Fig 3. Fig. 4 to 6 show some of our cases.