Uncommon Presentation of Non-Hodgkin’s Lymphoma of Maxillary Sinus: A Case Report

Taoufik Adouly^1, , Choaib Adnane¹, Tarek Oubahmane¹, Sami Rouadi¹, Redallah Abada¹, Mohamed Roubal¹ and Mohamed Mahtar¹

¹Department of ENT, 20 août Hospital, Ibn Rochd University Hospital; Casablanca, Morocco

Cite this paper:
Taoufik Adouly, Choaib Adnane, Tarek Oubahmane, Sami Rouadi, Redallah Abada, Mohamed Roubal and Mohamed Mahtar. Uncommon Presentation of Non-Hodgkin’s Lymphoma of Maxillary Sinus: A Case Report. American Journal of Medical Case Reports. 2015; 3(12):410-412. doi: 10.12691/ajmcr-3-12-7

Abstract

Non-Hodgkin’s Lymphoma is a group of neoplasms that originate from the cells of the lymphoreticular system. In 40% of cases, it arises from extranodal sites. The nasal cavities and paranasal sinuses are rarely affected by primary Non hodgkin’s lymphoma. We report the case of a 60-year-old man admitted for Non-Hodgkin’s Lymphoma of maxillary sinus. CT scan demonstrated an extensive lesion destroying the medial and anterior walls. The patient received 6 cycles of the chemotherapy. The follow-up for the last 1 year was normal without recurrence. The difficulty encountered in the diagnosis of this clinicopathological entity owing to its radiological and clinical expression, particularly the evolution was discussed. Though rare, the signs and symptoms of the case suggest that Non hodgkin’s lymphoma should be considered in the differential diagnosis of nasal cavity lesions.

Keywords:
lymphoma maxillary clinical radiological treatment

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References:

[1]	Kozakiewicz M, Karolewski M, Kobos J, Stolecka Z. Malignant lymphoma of jaw bone. Med Sci Monti 2003; 9: CS110-4.
[2]	Van Prooyen Keyser S, Eloy P, Delos M, Doyen C, Bertrand B, Rombaux P. Sinonasal lymphomas. Case report. Acta Otorhinolaryngol Belg 2000; 54: 45-51.
[3]	Greenberg M, Glick M, Ship AJ. Burket’s Oral Medicine. 11th ed. USA: BC Decker INC; 2008. p. 174-5.
[4]	Piatelli A, Croce A, Tete S, Artese L. Primary non-Hodgkin’s lymphoma of the mandible: A case report. J Oral Maxillofac Surg 1997;55:1162-6.
[5]	Tran LM, Masrk R, Fu YS. Primary non-hodgkin’s lymphomas of the paranasal sinuses and nasal cavity. Am J Clin Oncol 1992; 15: 222-5.
[6]	Chi H-S, Lee K-W, Chiang F-Y et al. Head and neck extranodal lymphoma in a single institute: a 17-year retrospective analysis. Kaohsiung J Med Sci 2012; 28(8):435-41.
[7]	Brette M-D, Monteil J-P. Manifestations oto-rhino-laryngologiques des hémopathies de l’adulte. EMC-Oto-Rhino-Laryngol. 2004 p. 56-72 [1(1)].
[8]	Vega F, Lin P, Medeiros LJ. Extranodal lymphomas of the head and neck. Ann Diagn Pathol: 2005; 9(6):340-50.
[9]	Boussen H, Sethoma A, Beddouihech N, Touati S, Gamoudi A, Gritli S, EL may A, Ferjaoui M, Benna F, Ladgham A. Primary sino-nasal lymphomas. A propos of 25 cases. Cancer Radiother 2001; 5: 150-4.
[10]	Abbondanzo SL, Wenig BM. Non-Hodgkin's lymphoma of the sinonasal tract. A clinicopathologic and immunophenotypic study of 120 cases. Cancer 1995; 15; 1281-91.
[11]	Matsumoto S, Shibuya H, Tatera S, Yamazaki E, Suzuki S. Comparison of CT findings in non-Hodgkin lymphoma and squamous cell carcinoma of the maxillary sinus. Acta Radiol 1992; 33: 523-7.
[12]	Jégoux F, Métreau A, Louvel G et al. Paranasal sinus cancer. Eur Ann Otorhi-nolaryngol Head Neck Dis: 2013; 130(6):327-35.
[13]	Park YM, Cho JH, Cho JY, Hub JS, Ahn JY. Non-Hodgkin’s lymphoma of the sphenoid sinus presenting as isolated oculomotor nerve palsy. World J Surg Oncol 2007 5:86.
[14]	Tauber S, Nerlich A, Lang S. MALT lymphoma of the paranasal sinuses and the hard palate: report of two cases and review of the literature. Eur Arch Otorhinolaryngol 2006; 263: 19-22.
[15]	Ezzat AA, Ibrahim EM, El Weshi AN, et al. Localized non-Hodgkin's lymphoma of Waldeyer's ring: clinical features, management, and prognosis of 130 adult patients. Head Neck 2001; 23: 547-58.
[16]	Logsdon MD, Ha CS, Kavadi VS el al. Lymphoma of the nasal cavity and paranasal sinuses. Cancer: 1997; 80(3):477-88.