Primary nasopharyngeal interdigitating dendritic cell tumor presentation and response to radiation therapy

We report the case of a primary nasopharyngeal interdigitating dendritic cell tumor (IDDCT). A 25-year old male presented with bilateral decreased hearing, double vision, and ataxia. Flexible nasopharyngoscopy reviewed a large mass obstructing and filling the entire nasopharynx. MRI and PET-CT confi...

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Main Authors: Paul W. Read, John B. Cousar, Michael G. Douvas, James F. Reibel, Asal N. Shoushtari, Randell L. Woodford, Neal E. Dunlap
Format: Article
Language:English
Published: SAGE Publishing 2010-03-01
Series:Rare Tumors
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/rt/article/view/1618
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author Paul W. Read
John B. Cousar
Michael G. Douvas
James F. Reibel
Asal N. Shoushtari
Randell L. Woodford
Neal E. Dunlap
author_facet Paul W. Read
John B. Cousar
Michael G. Douvas
James F. Reibel
Asal N. Shoushtari
Randell L. Woodford
Neal E. Dunlap
author_sort Paul W. Read
collection DOAJ
description We report the case of a primary nasopharyngeal interdigitating dendritic cell tumor (IDDCT). A 25-year old male presented with bilateral decreased hearing, double vision, and ataxia. Flexible nasopharyngoscopy reviewed a large mass obstructing and filling the entire nasopharynx. MRI and PET-CT confirmed the presence of the primary tumor and demonstrated bilateral cervical lymphadenopathy. Biopsy of the nasopharynx revealed a hematolymphoid neoplasm with dendritic cell differentiation, most consistent with an IDDCT. The lesion was unresectable. The patient was treated with definitive radiotherapy to 66 Gy to the primary tumor and 50 Gy to the bilateral cervical lymphatics using an IMRT technique. A complete response was achieved and the patient remains disease free at the primary site 23 months after completion of radiotherapy.
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spelling doaj.art-287586ba69444c75a947bac4923128aa2022-12-22T01:47:44ZengSAGE PublishingRare Tumors2036-36032036-36132010-03-0121e9e910.4081/rt.2010.e9Primary nasopharyngeal interdigitating dendritic cell tumor presentation and response to radiation therapyPaul W. ReadJohn B. CousarMichael G. DouvasJames F. ReibelAsal N. ShoushtariRandell L. WoodfordNeal E. DunlapWe report the case of a primary nasopharyngeal interdigitating dendritic cell tumor (IDDCT). A 25-year old male presented with bilateral decreased hearing, double vision, and ataxia. Flexible nasopharyngoscopy reviewed a large mass obstructing and filling the entire nasopharynx. MRI and PET-CT confirmed the presence of the primary tumor and demonstrated bilateral cervical lymphadenopathy. Biopsy of the nasopharynx revealed a hematolymphoid neoplasm with dendritic cell differentiation, most consistent with an IDDCT. The lesion was unresectable. The patient was treated with definitive radiotherapy to 66 Gy to the primary tumor and 50 Gy to the bilateral cervical lymphatics using an IMRT technique. A complete response was achieved and the patient remains disease free at the primary site 23 months after completion of radiotherapy.http://www.pagepress.org/journals/index.php/rt/article/view/1618hematolymphoid neoplasmIMRTIDDCTextranodal
spellingShingle Paul W. Read
John B. Cousar
Michael G. Douvas
James F. Reibel
Asal N. Shoushtari
Randell L. Woodford
Neal E. Dunlap
Primary nasopharyngeal interdigitating dendritic cell tumor presentation and response to radiation therapy
Rare Tumors
hematolymphoid neoplasm
IMRT
IDDCT
extranodal
title Primary nasopharyngeal interdigitating dendritic cell tumor presentation and response to radiation therapy
title_full Primary nasopharyngeal interdigitating dendritic cell tumor presentation and response to radiation therapy
title_fullStr Primary nasopharyngeal interdigitating dendritic cell tumor presentation and response to radiation therapy
title_full_unstemmed Primary nasopharyngeal interdigitating dendritic cell tumor presentation and response to radiation therapy
title_short Primary nasopharyngeal interdigitating dendritic cell tumor presentation and response to radiation therapy
title_sort primary nasopharyngeal interdigitating dendritic cell tumor presentation and response to radiation therapy
topic hematolymphoid neoplasm
IMRT
IDDCT
extranodal
url http://www.pagepress.org/journals/index.php/rt/article/view/1618
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