Surgery in combined treatment of pulmonary malt-lymphoma

Treatment of pulmonary MALT-lymphomas remains an urgent problem of thoracic oncology due to their rareness and a number of unresolved issues of combined treatment. The objective of the paper is to show a favorable outcome of radical treatment in patients with pulmonary MALT-lymphoma. Materials and Methods. This paper describes a clinical case of pulmonary MALT-lymphoma and gives the results of surgical method in its combined treatment. During the preoperative examination of patient M. (40 years old) a malignant neoplasm was detected in the lower lobe of the right lung. The patient underwent the lower lobectomy, partial resection of the upper lobe, and systemic ipsilateral lymphadenectomy. Results. Histological examination of the surgery material revealed pulmonary MALT-lung lymphoma. During the postoperative period, the patient underwent chemotherapy: 6 treatment cycles according to R-CHOP-21 scheme. Then, supportive targeted therapy was performed: rituximab one dose every 3 months for 2 years. A control study carried out 3 years after treatment did not reveal a lymphoma recurrence or any distant metastases. Conclusion. Timely diagnosis, radical surgical treatment and adequate immunochemotherapy according to R-SNOR-21 scheme made it possible to register radical recovery in a patient with pulmonary MALT-lymphoma.