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09 December 2016 : Case report  Qatar

Nasal Type Extranodal Natural Killer/T (NK/T) Cell Lymphoma Presenting as Periorbital Cellulitis: A Case Report

Mistake in diagnosis, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Ma'in Ali Al Shawabkeh1ABDEF, Mansour Al Sulaiti1A, Hamad Al Sa'ey1A, Shanmugam Ganesan1ACDF*

DOI: 10.12659/AJCR.899922

Am J Case Rep 2016; 17:934-938

Abstract

BACKGROUND: Extranodal lymphoma of the paranasal sinuses is a rare clinical entity seen in only 5–8% of extranodal lymphomas of the head and neck. Nasal natural killer/T cell lymphoma (Nasal NKTCL), which is a subtype of peripheral T cell lymphoma, constitutes about 1.4% of all lymphomas. NKTCL is usually diagnosed at a late stage because it presents with nonspecific symptoms in the early stages.

CASE REPORT: We report the case of a 25-year-old male patient who presented with periorbital swelling treated as fungal sinusitis but proven to have NKTCL. We review the literature and discuss the clinical manifestations of the disease, its relation to EBV virus, the histological and radiological characteristics, the prognostic indicators, and treatment options. This case report shows physicians that NKTCL lymphoma can present as periorbital cellulitis, although few similar cases are found in the literature.

CONCLUSIONS: NKTCL is a destructive midline tumor that should be kept in mind as a differential diagnosis of paranasal sinus lesions to help in early diagnosis, which can improve the prognosis.

Keywords: Granuloma, Lethal Midline, Nose Neoplasms, orbital cellulitis, Sinusitis

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923