JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2017, Vol. 31 ›› Issue (4): 51-53.doi: 10.6040/j.issn.1673-3770.0.2017.199

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Clinical analysis of 17 patients with primary non-Hodgkins lymphoma in the nose and the pharynx.

QIN He, HU Bin, YE Jingying   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing 102218, China
  • Received:2017-05-10 Online:2017-08-16 Published:2017-08-16

Abstract: Objective To analyze the clinical characteristics of primary non-Hodgkins lymphoma in the nose and pharynx. Methods The clinical data of 17 patients with pathologically confirmed non-Hodgkins lymphoma of the nose and pharynx were retrospectively reviewed. Results Six patients with non-Hodgkins lymphoma in the nasal cavity and paranasal sinuses showed nasal obstruction, nasal discharge, bloody rhinorrhea, malformation of the external nose, or hearing loss. Four patients with nasopharyngeal non-Hodgkins lymphoma presented with tinnitus and hearing loss. Seven patients with non-Hodgkins lymphoma in the oropharynx reported foreign body sensation in the throat, pharyngalgia, and dysphagia. The clinical manifestations of primary non-Hodgkins lymphoma in the nose and pharynx were non-specific. There was a large amount of necrotic tissue covering the surface of the neoplasm. In three patients, a biopsy was performed more than once before non-Hodgkins lymphoma was confirmed. Conclusion Diagnosis of primary non-Hodgkins lymphoma in the nose and pharynx is often missed. An accurate diagnosis is best achieved by pathological biopsy.

Key words: Nasal cavity, Nasopharynx, Oropharynx, Non-Hodgkins lymphoma

CLC Number: 

  • R739.6
[1] Salplahta D, Comanescu MV, Anghelina F, et al.Non-Hodgkin lymphomas of Waldeyers ring [J]. Rom J Morphol Embryol, 2012, 53(4):1057-1060.
[2] Cheson BD, Horning SJ, Coiffier B, et al. Report of an international workshop to standardize response criteria for non-Hodgkins lymphomas [J]. Clin Onc, 1999, 17(4):1244-1253.
[3] Cheson BD, Fisher RI, Barrington SF, et al. Recommendations for initial evaluation, staging, and response assessment of Hodgkin and non-Hodgkin lymphoma: the Lugano classification [J]. J Clin Oncol, 2014, 32(27):3059-3068.
[4] Niemiec M, Stryjewska-Makuch G, Janik M, et al. Head and neck lymphomas-a retrospective ten-year observation [J]. Contemp Oncol(Pozn), 2017, 21(1):66-69.
[5] Geng L, Wang X. Epstein-Barr Virus-associated lymphoproliferative disorders: experimental and clinical developments [J]. Int J Clin Exp Med, 2015, 8(9):14656-14671.
[6] Wang J, Cai CP, He SF, et al. Characteristics and prognostic factors for head and neck non-Hodgkin's lymphoma in Chinese patients [J]. J Laryngol Otol, 2013, 127(7):699-704.
[7] 李少玲,付骞千,张甜甜,等. 原发性胃肠道非霍奇金淋巴瘤的临床特征及预后因素分析[J]. 肿瘤防治研究,2017,44(1): 28-33. LI Shaoling, FU Qianqian, ZHANG Tiantian,et al. Clinical features and prognostic factors of primary gastrointestinal non-Hodgkin's lymphoma[J]. Cancer Res Prev Treat, 2017, 44(1): 28-33.
[8] 孙志强,李卓江,景本年. 鼻咽部非霍奇金淋巴瘤误诊为鼻咽癌3例[J]. 中国煤炭工业医学杂志,2004,7(10): 989.
[9] 张岚,常英展. 鼻咽部恶性淋巴瘤误诊为纤维血管瘤1例[J]. 临床肿瘤学杂志,2001,6(3): 268.
[10] 张丽,魏斌宏,贺玉良. 非霍奇金淋巴瘤误诊茎突综合征合并淋巴结炎一例[J]. 包头医学, 2016,40(3):187-188.
[11] 张玲,陶兴罡. 扁桃体恶性淋巴瘤误诊的警示/反思(附1例报告)[J]. 中国伤残医学, 2014, 22(10):104-105.
[12] Li CC, Tien HF, Tang JL, et al. Treatment outcomes and pattern of failure in 77 patients with sinonasal natural killer/T-cell or T-cell lymphoma [J]. Cancer, 2004, 100(2): 366-375.
[13] Giridhar P, Mallick S, Bhasker S, et al. Head and neck extra nodal NHL(HNENL)-Treatment Outcome and Pattern of failure-A Single Institution Experience [J]. Asian Pac J Cancer Prev, 2015, 16(15):6267-6272.
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