Nasal NK/T-cell Lymphoma Presenting as Acute Inflammation of Nasal Vestibule

Rafiqahmed Vasiwala; Irfan Mohamad; Sunil Pazhayanur Venkateswaran; Syed Zaifullah Hamzah

doi:10.1007/s12070-018-1402-8

Nasal NK/T-cell Lymphoma Presenting as Acute Inflammation of Nasal Vestibule

Indian J Otolaryngol Head Neck Surg. 2019 Nov;71(Suppl 3):1986-1989. doi: 10.1007/s12070-018-1402-8. Epub 2018 May 19.

Authors

Rafiqahmed Vasiwala¹, Irfan Mohamad², Sunil Pazhayanur Venkateswaran³, Syed Zaifullah Hamzah⁴

Affiliations

¹ 1Department of Otorhinolaryngology, International Medical University, Clinical Campus Jalan Rasah,, 70300 Seremban, Negeri Sembilan Malaysia.
² 2Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, University Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan Malaysia.
³ 3Department of Pathology, International Medical University, No.126, Jalan Jalil Perkasa 19, Bukit Jalil, Kuala Lumpur, Malaysia.
⁴ Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Tawau, 91007 Tawau, Malaysia.

Abstract

Extra nodal nasal NK/T cell lymphoma is relatively a rare type of non-Hodgkin lymphoma. Variable clinical presentation with rapidly progressive necrosis of the cartilaginous and bony wall of the nose and upper respiratory passages leads to delayed diagnosis and treatment. A 43-years-old patient presented with right nasal pain and furuncle-like swelling. The swelling progressed rapidly to cellulitis to the face up to the right eye. Within 2 months, it had advanced to necrosis of the lateral vestibular cartilage, medial maxillary wall, turbinate and nasal septal cartilage. Biopsy reported as non-Hodgkin diffuse T cell (angiocentric T cell) lymphoma.

Keywords: Furunculosis; Lymphoma; Nose.