A case of relapsed disseminated cutaneous MALT lymphoma.

A 50-year-old African American woman, with a history of hepatitis C and prior Mucosal Associated Lymphoid Tissue (MALT) lymphoma of the hard palate, presented to the Emergency Department with a chief complaint of fatigue and "bumps on my skin." Examination revealed multiple subcutaneous nodules on her extremities, torso, and back including a 10 by 6 cm mass on her left anterior thigh. Cytology from one of these subcutaneous nodules was consistent with extranodal marginal zone B cell lymphoma. This is a unique case in that it represents relapse and dissemination of MALT lymphoma to a completely new site following a complete remission status post radiation and chemotherapy.