Extranodal NK/T-cell lymphoma mimicking cellulitis.

Abstract:

:NK/T-cell lymphoma is difficult to diagnose because there is no characteristic cytology to help the diagnosis in tissue sections, particularly when there is polymorphic cellular infiltration in the early stage of the disease. However, the nasal type of extranodal NK/T-cell lymphoma has a characteristic histologic pattern, which is angiocentric, angioinvasive and angiodestructive. Therefore, many cases of this tumor may show extensive necrosis that mimics infectious process. Furthermore, because the immunosuppressive status of these patients, they may, in fact, have superimposed infections. We are reporting a case that presented as cellulitis and only after careful examination with immunohistochemistry that a correct diagnosis of extranodal NK/T-cell lymphoma, nasal type, was established. Since this lymphoma is incurable and immunophenotyping is instrumental for the diagnosis and prediction of the prognosis, a high index of suspicion for this tumor is needed when an angiocentric lesion is found in the midline of the head and neck region, and a thorough immunohistological study should always be conducted in these cases.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Jia H,Sun T

doi

10.1080/10428190310001652313

keywords:

subject

Has Abstract

pub_date

2004-07-01 00:00:00

pages

1467-70

issue

7

eissn

1042-8194

issn

1029-2403

pii

TRR6W08BWYNWDCW8

journal_volume

45

pub_type

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