Lymphoma found in nasal cavity during a dacryocystorhinostomy

Main Article Content

Alberto Rabino
Guillermo Fridrich
Melissa Castillo Bustamante
María Andrea Ricardo

Abstract

Malignant tumors in sinonasal areas constitute 3% – 5% of all malignant tumors, of which non–Hodgkin lymphomas developing from B cells are those most commonly found. Nasal cavity involvement is described between 1.5% and 15% and is usually found in patients who are in their seventies or eighties. It is more commonly found in women than in men and there is predisposition in Asians. Its histology has been found as non-primary epithelial tumors. Many patients in case series had been diagnosed with primary tumor in other places prior to the presentation of nasal symptoms such as nasal obstruction, epistaxis, edema, headache, and blurred vision. This article describes the case report of a male patient diagnosed with chronic lymphoid leukemia residing in Buenos Aires. While the patient was undergoing a dacryocystorhinostomy, a lymphoid tissue was found in the right nostril without previous presentation of nasal symptoms, palpable mass, or systemic symptoms.

Keywords:
dacryocystorhinostomy, lymphoma, otolaryngology

Article Details

Author Biographies

Alberto Rabino, British Hospital.

Otolaryngologist, British Hospital. Buenos Aires, Argentina.

Guillermo Fridrich, British Hospital.

Ophthalmologist, British Hospital. Buenos Aires, Argentina.

Melissa Castillo Bustamante, British Hospital.

Third year resident of Otolaryngology. British Hospital. Buenos Aires, Argentina.

María Andrea Ricardo, Hospital Británico

Head of the Otorhinolaryngology Service, British Hospital, Buenos Aires, Argentina.

References

Ning-Ning Lu, Ye-Xiong Li. Clinical behavior and treatment outcome of primary nasal diffuse large B-cell lyphoma. Cancer. 2012;118:1593-1598.

Neves MC, Lessa MM, Voegels RL, Butugan O. Primary non-Hodgkins lymphoma of the frontal sinus: case report and review of the literature. Ear Nose Throat J. 2005;84:47-51.

Kamath MP, Kamath G, Bhojwani K, Pai M, et al. Sinonasal lymphoma: A case report. Ear Nose Throat J. 2006;85:325-327.

Oprea C, Cainap C, Azoulay JR, Assaf E, et al. Primary diffuse large B-cell non-Hodgkin lymphoma of the paranasal sinuses: A report of 14 cases. Br J haematol . 2005;131:468-471.

Yamanaka N, Harabuchi Y, Sambe S, Shido F, Matsuda F, Kataura A. Non Hodgkin’s lymphoma of Waldayer’s ring and nasal cavity, clinical and immunological aspects. Cancer. 1985;56:768-776.

Chan J, Lo S, Poon Y. Immunophenotypic analysis of non-Hodgkin’s lymphomas in Chinese: a study of 75 cases in Hong Kong. Pathology 1986;18:419-425.

Young H, Jung Dai L. Malignant lymphomas of the nasal cavity and waldeyer´s ring. Journal of Korean Medical Science. 1992; 7:4,314-324.

Kim GE, Koom WS, Yang WI, Lee SW, Keum KC, Lee CG, et al. Clinical relevance of three subtypes of primary sinonasal lymphoma characterized by immunophenotypic analysis. Head Neck. 2004; 26: 584-593

Kim GE, Lee SW, Chang SK, Park HC, Pyo HR, Kim JH, et al. Combined chemotherapy and radiation versus radiation alone in the management of localized angiocentric lymphoma of the head and neck. Radiother Oncol. 2001; 61: 261-264.

Liang R, Todd D, Chan TK, Chiu E, Lie A, Kwong YL et al. Treatment outcome and prognostic factors for primary nasal lymphoma. J Clin Oncol. 1995; 13:666-670.

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