The malignant B-cell lymphoma of the MALT-type shows significant diffe
rences from nodal lymphomas with respect to its biological, molecular
genetic, and clinical properties. According to the proposal from the I
nternational Lymphoma Study Group for a Revised European-American Clas
sification of Lymphoid Neoplasms, MALT-B-cell lymphomas have been defi
ned as an extranodal subgroup of marginal zone B-cell lymphomas and ma
y have lower and higher grade types. We have applied this classificati
on to 24 cases of primary B-cell lymphomas of the lung. These tumors s
howed histopathologic features of low (n = 20) and/or high grade neopl
asms (n = 4) recapitulating the structure of the acquired bronchus-ass
ociated, lymphoid tissue (BALT). According to our experience the diagn
osis of BALT-type B-cell lymphoma, is both practically feasable and re
producible not only for surgical material but even for biopsy specimen
s.