Sinonasal NK/T-Cell Lymphoma with Upper Gastrointestinal Bleeding: A Case Report
Natural killer (NK)/T-cell lymphoma is the most common malignant lymphoma among sinonasal lymphomas. Diagnosis is difficult and prognosis is poor. Herein, we report the case of a 22-year-old male patient with sinonasal NK/T-cell lymphoma who first presented with nasal obstruction and left facial swe...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2003-12-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X09705194 |
| _version_ | 1818470054382010368 |
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| author | Kuan-Jung Huang Ling-Feng Wang Ka-Wo Lee Kuen-Yao Ho Wen-Rei Kuo |
| author_facet | Kuan-Jung Huang Ling-Feng Wang Ka-Wo Lee Kuen-Yao Ho Wen-Rei Kuo |
| author_sort | Kuan-Jung Huang |
| collection | DOAJ |
| description | Natural killer (NK)/T-cell lymphoma is the most common malignant lymphoma among sinonasal lymphomas. Diagnosis is difficult and prognosis is poor. Herein, we report the case of a 22-year-old male patient with sinonasal NK/T-cell lymphoma who first presented with nasal obstruction and left facial swelling. There was a mushroom-like mass over the hard palate, diffuse mucosal swelling in the left nasal cavity, and left orbital cellulitis. The patient underwent a Caldwell-Luc operation, functional endoscopic sinus surgery, and wide excision of the palate tumor. Pathologic examination of the maxillary sinus, nasal cavity, and palate tumor showed an NK/T-cell lymphoma. Two days after the operation, the patient suddenly had bloody stool and suffered hematemesis. A series of examinations revealed a small intestinal hemorrhage. Emergent exploratory laparotomy showed an ulcerative tumor mass with bleeding over the jejunum. Pathologic examination of the mass showed that it was the same as the sinonasal mass, an NK/T-cell lymphoma. We reviewed previous studies on nasal NK/T-cell lymphoma and found no report discussing patients with NK/T-cell lymphoma of both nasal and non-nasal origins. From this case, we learned that in patients with sinonasal NK/T-cell lymphoma, other sites may be involved. |
| first_indexed | 2024-04-13T21:32:47Z |
| format | Article |
| id | doaj.art-ce19bd6eb89543788f62490df006cfc4 |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-04-13T21:32:47Z |
| publishDate | 2003-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-ce19bd6eb89543788f62490df006cfc42022-12-22T02:29:06ZengWileyKaohsiung Journal of Medical Sciences1607-551X2003-12-01191263964210.1016/S1607-551X(09)70519-4Sinonasal NK/T-Cell Lymphoma with Upper Gastrointestinal Bleeding: A Case ReportKuan-Jung HuangLing-Feng WangKa-Wo LeeKuen-Yao HoWen-Rei KuoNatural killer (NK)/T-cell lymphoma is the most common malignant lymphoma among sinonasal lymphomas. Diagnosis is difficult and prognosis is poor. Herein, we report the case of a 22-year-old male patient with sinonasal NK/T-cell lymphoma who first presented with nasal obstruction and left facial swelling. There was a mushroom-like mass over the hard palate, diffuse mucosal swelling in the left nasal cavity, and left orbital cellulitis. The patient underwent a Caldwell-Luc operation, functional endoscopic sinus surgery, and wide excision of the palate tumor. Pathologic examination of the maxillary sinus, nasal cavity, and palate tumor showed an NK/T-cell lymphoma. Two days after the operation, the patient suddenly had bloody stool and suffered hematemesis. A series of examinations revealed a small intestinal hemorrhage. Emergent exploratory laparotomy showed an ulcerative tumor mass with bleeding over the jejunum. Pathologic examination of the mass showed that it was the same as the sinonasal mass, an NK/T-cell lymphoma. We reviewed previous studies on nasal NK/T-cell lymphoma and found no report discussing patients with NK/T-cell lymphoma of both nasal and non-nasal origins. From this case, we learned that in patients with sinonasal NK/T-cell lymphoma, other sites may be involved.http://www.sciencedirect.com/science/article/pii/S1607551X09705194jejunumnatural killer cellnosesinusT-cell lymphoma |
| spellingShingle | Kuan-Jung Huang Ling-Feng Wang Ka-Wo Lee Kuen-Yao Ho Wen-Rei Kuo Sinonasal NK/T-Cell Lymphoma with Upper Gastrointestinal Bleeding: A Case Report Kaohsiung Journal of Medical Sciences jejunum natural killer cell nose sinus T-cell lymphoma |
| title | Sinonasal NK/T-Cell Lymphoma with Upper Gastrointestinal Bleeding: A Case Report |
| title_full | Sinonasal NK/T-Cell Lymphoma with Upper Gastrointestinal Bleeding: A Case Report |
| title_fullStr | Sinonasal NK/T-Cell Lymphoma with Upper Gastrointestinal Bleeding: A Case Report |
| title_full_unstemmed | Sinonasal NK/T-Cell Lymphoma with Upper Gastrointestinal Bleeding: A Case Report |
| title_short | Sinonasal NK/T-Cell Lymphoma with Upper Gastrointestinal Bleeding: A Case Report |
| title_sort | sinonasal nk t cell lymphoma with upper gastrointestinal bleeding a case report |
| topic | jejunum natural killer cell nose sinus T-cell lymphoma |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X09705194 |
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