[非洲一例鼻NK/T细胞淋巴瘤]
[A case of nasal NK/T cell lymphoma in Africa].
作者信息
Kouassi Y M, Vroh Bi T S, Amelin I H, Buraïma F, N'Gattia K V, Kouassi J E, Tanon-anoh M J, Kouassi B, Portmann D
机构信息
CHU de Yopougon, Service d'ORL et de Chirurgie Cervico-Faciale, 21 BP 632 Abidjan 21, Côte d'Ivoire.
出版信息
Rev Laryngol Otol Rhinol (Bord). 2011;132(4-5):255-7.
INTRODUCTION
Nasal NK/T cell lymphoma is an aggressive, locally destructive and necrotizing lesions. It is exceptional rare in Africa.
CASE REPORT
We report a 73 year-old patient's case presenting a nasal obstruction with a chronic purulent nasal discharge. The physical examination showed a chronic nasal lesion involving the nose and infiltrating the pyramid. The histopathological examination performed in a french laboratory diagnosed a nasal T cell lymphoma. Chemotherapy was initiated; radiotherapy being unavailable.
CONCLUSION
The difficulties in management of nasal NK/T lymphoma cases are due to diagnostic difficulties and therapeutic problems related to the absence of radiotherapy in our work environment.
引言
鼻型NK/T细胞淋巴瘤是一种侵袭性、局部破坏性坏死性病变。在非洲极为罕见。
病例报告
我们报告一例73岁患者，表现为鼻塞伴慢性脓性鼻分泌物。体格检查发现慢性鼻部病变累及鼻腔并浸润鼻锥体。在一家法国实验室进行的组织病理学检查诊断为鼻型T细胞淋巴瘤。由于无法进行放疗，故开始化疗。
结论
鼻型NK/T淋巴瘤病例管理的困难归因于诊断困难以及在我们的工作环境中因缺乏放疗而产生的治疗问题。
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