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Mantle Cell Lymphoma Mimicking Parotid Neoplasm: A Rare Case Report.

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Iranian journal of otorhinolaryngology 📖 저널 OA 100% 2021: 1/1 OA 2023: 1/1 OA 2024: 4/4 OA 2025: 3/3 OA 2026: 2/2 OA 2021~2026 2026 Vol.38(1) p. 61-65
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Gupta T, Yadav S, Naseem AA, Singh SK, Rashmi R

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[INTRODUCTION] Mantle cell lymphoma (MCL) is a rare and aggressive B-cell non-Hodgkin lymphoma, commonly affecting lymph nodes, spleen, bone marrow, and gastrointestinal tract.

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↓ .bib ↓ .ris
APA Gupta T, Yadav S, et al. (2026). Mantle Cell Lymphoma Mimicking Parotid Neoplasm: A Rare Case Report.. Iranian journal of otorhinolaryngology, 38(1), 61-65. https://doi.org/10.22038/ijorl.2025.88661.3973
MLA Gupta T, et al.. "Mantle Cell Lymphoma Mimicking Parotid Neoplasm: A Rare Case Report.." Iranian journal of otorhinolaryngology, vol. 38, no. 1, 2026, pp. 61-65.
PMID 41585338 ↗

Abstract

[INTRODUCTION] Mantle cell lymphoma (MCL) is a rare and aggressive B-cell non-Hodgkin lymphoma, commonly affecting lymph nodes, spleen, bone marrow, and gastrointestinal tract. Salivary gland involvement, especially in the parotid gland, is unusual and often mimics benign conditions, complicating diagnosis.

[CASE REPORT] A 58-year-old male presented with a painless, progressively enlarging swelling in the right preauricular region without facial nerve involvement. Imaging revealed a mass within the parotid gland, leading to superficial parotidectomy. Histopathology confirmed mantle cell lymphoma. Immunohistochemical studies showed positivity for CD20, BCL2, CD5, and Cyclin D1; negativity for CD23, CD10, BCL6, and MUM1; and scattered CD3-positive T lymphocytes. The Ki-67 proliferation index was approximately 40%, indicating intermediate proliferative activity. Whole-body PET-CT revealed additional metabolically active lesions suggestive of systemic disease. The patient was started on bendamustine and rituximab chemotherapy.

[CONCLUSION] This case highlights that parotid swellings may conceal systemic lymphomas, and misleading cytology can delay diagnosis. Clinicians should consider MCL in atypical parotid lesions to ensure early systemic therapy.

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