A case of sinonasal lymphoma

Yıl 2002, Cilt: 9 Sayı: 6, 425 - 428, 20.12.2002

Sevilay Aydın Sönmez Ferhat Oğuz Mehmet Ada Burhan Kocamal

Öz

Sinonasal lymphoma is a rare disease that poses diffi- culties in diagnosis. A fifty-year-old male patient pre- sented with a mass in the nasal vestibulum that destroyed the left nasal ala. Nocardiosis was consid- ered in the light of the initial biopsy findings; however, microbiologic studies were not consistent with pathologic examination. A subsequent biopsy was obtained, which resulted in the diagnosis of peripheral T-cell lym­ phoma. Following the diagnosis, the patient was referred to the oncology clinic to receive chemotherapy.He died during the second course of chemotherapy.

Anahtar Kelimeler

Lymphoma/pathology/complications, lym­phoma, T-cell/pathology, nose neoplasms/pathology, paranasal sinüs neoplasms/pathology

Sinonazal lenfoma: Olgu sunumu

Öz

Sinonazal lenfoma nadir görülen, tanıda güçlük ya- ratan bir hastalıktır. Vestibulumu tutarak sol burun kanadını destrükte eden kitle nedeniyle kliniğimize baflvuran 50 yaflındaki erkek hastadan alınan ilk bi- yopsi sonucunda tanıda nokardiyoz düflünüldü. Mik- robiyolojik incelemelerin bu öntanıyı desteklememe- si üzerine yapılan ikinci biyopsi bulguları, periferik T- hücreli lenfoma tanısı konmasını sağladı. Tanıyı ta- kiben, hasta onkoloji polikliniğine sevk edildi. Kemo- terapi bafllanan hasta tedavinin ikinci küründe yafla- mını yitirdi

Anahtar Kelimeler

Lenfoma/patoloji/komplikasyon, lenfoma, T-hücreli/patoloji, burun neoplazmları/patoloji, paranazal sinüs neoplazmları/patoloji.

Kaynakça

• Abbondanzo SL, Wenig BM. Non-Hodgkin's lym- phoma of the sinonasal tract. A clinicopathologic and immunophenotypic study of 120 cases. Cancer 1995; 75:1281-91.
• Vidal RW, Devaney K, Ferlito A, Rinaldo A, Carbone A. Sinonasal malignant lymphomas: a distinct clinico- pathological category. Ann Otol Rhinol Laryngol 1999; 108:411-9.
• Yang Y, Gau JP, Chang SM, Lin TH, Ho KC, Young JH. Malignant lymphomas of sinonasal region, including cases of polymorphic reticulosis: a retrospective clini- copathologic analysis of 34 cases. Zhonghua Yi Xue Za Zhi 1997;60:236-44. [Abstract]
• Shima N, Kobashi Y, Tsutsui K, Ogawa K, Maetani S, Nakashima Y, et al. Extranodal non-Hodgkin's lym- phoma of the head and neck. A clinicopathologic study in the Kyoto-Nara area of Japan. Cancer 1990;66:11 9 0 - 7 .
• Babb MJ, Cruz RM, Puligandla B. Sinonasal mucosa-asso- ciated lymphoid tissue lymphoma. Arch Otolaryngol Head Neck Surg 1999;125:585-8.
• Cleary KR, Batsakis JG. Sinonasal lymphomas. Ann Otol Rhinol Laryngol 1994;103:911-4.
• Hanna E, Wanamaker J, Adelstein D, Tubbs R, Lavertu P. Extranodal lymphomas of the head and neck. A 20- year experience. Arch Otolaryngol Head Neck Surg 1997;123:1318-23.
• Roth DB, Siatkowski RM. Bilateral blindness as the ini- tial presentation of lymphoma of the sphenoid sinus. Am J Ophthalmol 2000;129:256-8.
• Juman S, Robinson P, Balkissoon A, Kelly K. B-cell non-Hodgkin's lymphoma of the paranasal sinuses. J Laryngol Otol 1994;108:263-5.
• Johnson CD, Kent DM, Varjabedian GC, Lepoudre C. Malignant lymphoma of the maxillary sinus. J Am Osteopath Assoc 1993;93:252, 255-8.