Rajaram Sowmya T, Lobo Flora D, Achary Chandrayya
Department of Pathology, Kasturba Medical College, Lighthouse Hill Rd., Mangalore, Karnataka-575 001, India.
Ear Nose Throat J. 2010 Dec;89(12):E13. doi: 10.1177/014556131008901204.
Oropharyngeal lymphomas are rare, typically high-grade neoplasms. We describe a case of plasmablastic lymphoma that originated in the oropharynx of a 40-year-old man who was positive for human immunodeficiency virus (HIV). The diagnosis was based on fine-needle aspiration cytology of the mass followed by histopathologic examination supplemented with immunophenotyping. The mass was excised, but the patient refused antiretroviral therapy, and he died within 6 months of the diagnosis. In HIV-positive patients, non-Hodgkin lymphomas frequently involve sites, including the oropharynx, that are unusual in patients without HIV.
口咽淋巴瘤较为罕见，通常为高级别肿瘤。我们描述了一例发生于一名40岁男性口咽的浆母细胞淋巴瘤病例，该患者人类免疫缺陷病毒（HIV）检测呈阳性。诊断基于对肿物的细针穿刺细胞学检查，随后进行组织病理学检查并辅以免疫表型分析。肿物被切除，但患者拒绝抗逆转录病毒治疗，在诊断后6个月内死亡。在HIV阳性患者中，非霍奇金淋巴瘤常累及口咽等在无HIV患者中不常见的部位。
