Lung Cancer: Lung Cancer I |

The Treatment Outcome of Pulmonary Wedge Resection of Extranodal Marginal Zone B-Cell Lymphoma of the Lung (BALT Lymphoma) FREE TO VIEW

Bumhee Yang, MD; Hyun Lee, MD; Ki Jong Oh, MD; Byeong-Ho Jeong, PhD; Hojoong Kim, PhD
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Samsung Medical Center, Seuol, Korea (the Republic of)

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;150(4_S):698A. doi:10.1016/j.chest.2016.08.793
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SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: The treatment outcome of extranodal marginal zone B-cell lymphoma of the lung (BALTOMA) has been reported to be associated with favorable outcomes. However, few studies have reported the treatment outcome of pulmonary wedge resection of the lung. We aimed to evaluate the treatment outcome of surgical modality in the management of BALTOMA.Primary lymphoma of the lung is very rare. So there have been a few reviews of this lymphoma, and patient’s management have not been clearly defined.

METHODS: Medical records of patients who were diagnosed of BALT lymphoma and treated surgically between January 2004 and December 2015 in Samsung Medical Center were reviewed.

RESULTS: Of the 43 patients with BALT lymphoma, 18 patients (42%) were treated by lobectomy and 25 patients (58%) were treated by wedge resection of the lung. There were no significant differences in median age, sex, comorbidities, respiratory symptoms, stage, B symptoms, performance status, and international prognostic index score between the patients undergoing lobectomy and wedge resection. Over 37.3 months (interquartile range, 13.6 months - 77.5 months) of follow-up period, there were no significant differences in time to progression or deaths in patients undergoing wedge resection versus patients undergoing lobectomy (P = 0.832).

CONCLUSIONS: The present study showed that there were no significant differences in time to progression or deaths in patients undergoing lobectomy versus wedge resection..

CLINICAL IMPLICATIONS: Our study suggests that limited resection of lung might be an alternative treatment in some patients with localized BALTOMA.

DISCLOSURE: The following authors have nothing to disclose: Bumhee Yang, Hyun Lee, Ki Jong Oh, Byeong-Ho Jeong, Hojoong Kim

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