Primary Lymphoma of the Temporal Bone: The First Locally Reported Case
Objective: To report a case of primary non-Hodgkin’s T-cell lymphoma in the temporal bone in a pediatric patient, discussing clinical presentation and course, diagnostic evaluation and management in the light of published literature. Methods: Design: Case report Setting: Private tertiary...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Philippine Society of Otolaryngology-Head and Neck Surgery, Inc.
2008-12-01
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| Series: | Philippine Journal of Otolaryngology Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://pjohns.pso-hns.org/index.php/pjohns/article/view/733 |
| Summary: | Objective: To report a case of primary non-Hodgkin’s T-cell lymphoma in the temporal bone in a pediatric patient, discussing clinical presentation and course, diagnostic evaluation and management in the light of published literature.
Methods:
Design: Case report
Setting: Private tertiary university hospital
Patient: One
Results: An 8-year-old female with a 10-month history of otalgia and ipsilateral headache developed facial paralysis, unresponsive to topical otic drops and oral antibiotics. Imaging revealed mastoid sclerosis, tegmental and ossicular erosions, and an attico-antral mass which was excised through exploratory tympanomastoidectomy. Final histopath following immunohistochemical corroboration was T-cell lymphoma.
Conclusion: Primary malignant lymphoma of the temporal bone may initially present with otalgia and headache unresponsive to conventional medical management. Ominous signs like facial paralysis should heighten the suspicion of malignancy warranting prompt imaging of the temporal bone. Histopathologic evaluation of all mastoidectomy specimens should be mandatory especially in children, and special stains performed as needed. Patients with T cell NHL should undergo chemotherapy and may warrant closer follow up for tumor recurrence and disease progression.
Keywords: non-Hodgkin's lymphoma, Temporal bone |
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| ISSN: | 1908-4889 2094-1501 |