Tülin Kayhan F, Ozkul N
Department of Otolaryngology, Head and Neck Surgery, Vakif Gureba Hospital, Istanbul, Turkey.
Auris Nasus Larynx. 1999 Apr;26(2):201-5. doi: 10.1016/s0385-8146(98)00083-2.
We report an unusual case of primary extranodal non-Hodgkin's lymphoma of the parapharyngeal space. Clinical presentation looked like right peritonsillar abscess and hypoglossal palsy. After histologic study of his biopsy, this 19-year-old man was given a diagnosis of diffuse large-cell non-Hodgkin's lymphoma. Immunohistochemical study showed cell-type B and he was determined to have Stage IIE. Treatment combined chemotherapy and radiotherapy. Extranodal lymphoma of the head and neck presents a diagnostic problem. We review various approaches to extranodal non-Hodgkin's lymphomas of the head and neck. This condition especially requires communication between the surgeon and the pathologist, essential in preventing an incorrect or delayed diagnosis.
我们报告了一例罕见的咽旁间隙原发性结外非霍奇金淋巴瘤病例。临床表现类似右侧扁桃体周围脓肿和舌下神经麻痹。对其活检组织进行组织学研究后，这名19岁男性被诊断为弥漫性大细胞非霍奇金淋巴瘤。免疫组织化学研究显示为B细胞型，确定其处于IIE期。治疗采用化疗和放疗相结合的方式。头颈部结外淋巴瘤存在诊断难题。我们回顾了头颈部结外非霍奇金淋巴瘤的各种诊断方法。这种情况尤其需要外科医生和病理学家之间的沟通，这对于防止误诊或诊断延迟至关重要。
