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Gastric Mucosa-associated Lymphoid Tissue Lymphoma Masquerading as Relapsed Deep Neck Infection

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In the literature, malignant tumor has been described as the cause of deep neck infection. Most of these tumors were primary head and neck cancer. Deep neck infection as the presenting feature of gastric mucosa-associated lymphoid tissue lymphoma (MALToma) has not been reported in the literature. We report a case of repeated deep neck infection as the initial manifestation of gastric MALToma. An initial negative result of biopsy was found. After repeated biopsies of the neck abscess and subsequent discovery of gastric ulcer, the final diagnosis of gastric MALToma with neck involvement was confirmed. This case highlights that apart from carcinoma of the head and neck (pharynx, larynx, or thyroid gland), nonhead and neck (colon or esophagus), and non-Hodgkin's lymphoma, the differential diagnosis of gastric MALToma may be considered when a patient presents with a deep neck infection.

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