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MALT lymphoma, also known as extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue, is an indolent, extranodal form of non-Hodgkin lymphoma composed of small B-lymphocytes referred to as centrocyte-like cells. The gastrointestinal tract—particularly the stomach—is the most common site of involvement; additional sites include the lung, head and neck, ocular adnexa, skin, thyroid, and breast, as described in the WHO 2001 classification cited in the packet definition. Gastric cases are associated with Helicobacter pylori infection. The estimated population prevalence is 1 to 9 individuals per 100,000 (Orphanet). Five recognized subtypes are documented in this packet, involving distinct anatomic sites including thyroid gland, breast, and tonsillar mucosa-associated lymphoid tissue.
Clinical features documented at 80–99% frequency in HPO data for MALT lymphoma include fever, anemia, nausea and vomiting, pulmonary infiltrates, fatigue, B-cell lymphoma findings, hyperhidrosis, and weight loss. Additional HPO-recorded features include lymphadenopathy and local mass effects at the site of mucosal involvement. The affected organ systems documented in the packet are blood and immune, endocrine system, and respiratory. Because MALT lymphoma arises at varied mucosal sites, symptom presentation reflects the primary anatomic location of disease.
The BCL10 gene, located on chromosome 1, is documented in association with MALT lymphoma in the gene and chromosome location data of this packet. Gastric MALT lymphoma is linked to Helicobacter pylori infection, as stated in the packet definition. No Mendelian inheritance pattern is listed in this packet. Somatic variant data from ClinVar are not present in this packet; the known_genes_with_validity entry for BCL10 is documented without an assigned ClinGen evidence classification in the available data.
Diagnosis is based on histopathological evaluation of biopsy specimens demonstrating the characteristic small B-lymphocyte morphology described in the packet definition. The condition is classified as an extranodal lymphoma arising in mucosa-associated lymphoid tissue. The packet definition references H. pylori infection as relevant to gastric cases; testing for this pathogen is associated with gastric presentations in the documented literature context. Specific diagnostic criteria, approved companion diagnostics, and standardized staging protocols are not enumerated in the fields available in this packet.
Lenalidomide (Revlimid) is documented in the approved_treatments field with FDA NDA status and an active market status. Within the FDA orphan drug program, three additional agents carry APPROVED designation specifically for extranodal marginal zone lymphoma or MALT lymphoma: lisocabtagene maraleucel (Breyanzi), umbralisib (Ukoniq), and zanubrutinib (Brukinsa), as recorded in the orphan_drugs field. Multiple additional agents—including axicabtagene ciloleucel, idelalisib, odronextamab, parsaclisib, and tafasitamab-cxix—hold orphan designation status for this condition. Several agents listed in the orphan_drugs field carry WITHDRAWN status for MALT-related indications, including copanlisib and ublituximab. Ten clinical trials are documented in this packet as active or recruiting.
98 trials found
MALT lymphoma is described in the packet definition as an indolent malignancy, indicating a slow-growing natural history relative to other non-Hodgkin lymphoma subtypes. Specific survival statistics, response rates, and long-term outcome data are not present in this packet. The condition involves blood and immune, endocrine, and respiratory organ systems, with clinical trajectory reflecting the site and extent of mucosal involvement. No natural history field data are included in this packet.
Ten clinical trials involving MALT lymphoma or closely related extranodal marginal zone lymphoma are recorded in this packet. Documented examples include a Phase 1 investigation of 19(T2)28z1xx CAR T cells at Memorial Sloan Kettering Cancer Center (NCT04464200, active not recruiting, projected completion 2027) and a Phase 1 study of BGB-16673, a BTK-targeted protein degrader, conducted by BeiGene (NCT05294731, recruiting, projected completion 2029). Multiple agents at the designated stage—axicabtagene ciloleucel, idelalisib, odronextamab, parsaclisib, and tafasitamab-cxix—reflect sustained investigational interest in this disease.
Data assembled from 8 of 12 sources · Last updated Sep 20, 2026, 6:03 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about MALT lymphoma
AI-curated news mentioning MALT lymphoma
Updated Sep 12, 2026
A recent study highlights a rare case of MALT lymphoma presenting with simultaneous involvement of the lacrimal gland and stomach, as observed through (18)F-FDG PET/CT imaging. This case contributes to the understanding of MALT lymphoma's diverse presentations.
A case series reports five instances of primary pulmonary mucosa-associated lymphoid tissue (MALT) lymphoma exhibiting atypical imaging findings. This study contributes to the understanding of MALT lymphoma's presentation and may influence diagnostic approaches.
A recent study highlights primary pulmonary MALT lymphoma as a rare condition often misdiagnosed due to its pneumonic presentation. This research underscores the need for increased awareness and accurate diagnosis of this rare lymphoma subtype.