섬유성 이형성증을 모방한 상악동 미만성 거대 B세포 림프종 1예
A Case of Diffuse Large B Cell Lymphoma on Maxillaly Sinus Mimicking Fibrous Dysplasia
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
A 38-year-old male came to outpatient clinic, presenting with a 1-month history of headache and right facial pain. There was no specific finding on nasal endoscopy. Paranasal sinuses computed tomography (PNS CT) showed unilateral soft tissue density on right maxillary sinus and ground glass opacity on right maxillary and zygomatic bone. And there was no finding suggestive of malignancy in the subsequent PNS magnetic resonance imaging (MRI). We considered benign tumor such as fibrous dysplasia with maxillary sinusitis and performed the endoscopic sinus surgery combined with open surgery via Caldwell-Luc and subcillary approach. Histopathological diagnosis was diffuse large B-cell lymphoma. After six cycles of rituximab, cyclophosphamide, doxorubicin, vincristine, prednisolone chemotherapy, he gained complete remission and found no recurrence until two years. We report a rare case of sinonasal lymphoma mimicking fibrous dysplasia with literature review.
Abstract
A 38-year-old male came to outpatient clinic, presenting with a 1-month history of headache and right facial pain. There was no specific finding on nasal endoscopy. Paranasal sinuses computed tomography (PNS CT) showed unilateral soft tissue density on right maxillary sinus and ground glass opacity on right maxillary and zygomatic bone. And there was no finding suggestive of malignancy in the subsequent PNS magnetic resonance imaging (MRI). We considered benign tumor such as fibrous dysplasia with maxillary sinusitis and performed the endoscopic sinus surgery combined with open surgery via Caldwell-Luc and subcillary approach. Histopathological diagnosis was diffuse large B-cell lymphoma. After six cycles of rituximab, cyclophosphamide, doxorubicin, vincristine, prednisolone chemotherapy, he gained complete remission and found no recurrence until two years. We report a rare case of sinonasal lymphoma mimicking fibrous dysplasia with literature review.
참고문헌 (15)
- Choi CY, "Analysis of treatment in the patients with non-Hodgkin’s lymphoma of the head and neck", Korean J Otolaryngol-Head Neck Surg, 40(12), pp.1820~1825 (1997)
- Lu NN, "Clinical behavior and treatment outcome of primary nasal diffuse large B-cell lymphoma", Cancer, 118(6), pp.1593~1598 (2012)
- Chai RL, "Bailey’s head and neck surgery:otolaryngology", pp.2032~2043 (2014), Lippincott Williams & Wilkins
- Woo JS, "Clinical analysis of extranodal non-Hodgkin’s lsymphoma in the sinonasal tract", Eur Arch Otorhinolaryngol, 261(4), pp.197~201 (2004)
- Quraishi MS, "Non-Hodgkin’s lymphoma of the sinonasal tract", Laryngoscope, 110(9), pp.1489~1492 (2000)
- Fellbaum C, "Malignant lymphomas of the nasal cavity and paranasal sinuses", Virchows Arch A Pathol Anat Histopathol, 414(5), pp.399~405 (1989)
- Shohat I, "Primary non-Hodgkin’s lymphoma of the sinonasal tract", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 97(3), pp.328~331 (2004)
- Hunt KE, "Diffuse large B-cell lymphoma", Arch Pathol Lab Med, 132(1), pp.118~124 (2008)
- Yasumoto M, "Primary malignant lymphoma of the maxillary sinus : CT and MRI", Neuroradiology, 42(4), pp.285~289 (2000)
- Matsumoto S, "Comparison of CT findings in non-Hodgkin lymphoma and squamous cell carcinoma of the maxillary sinus", Acta Radiol, 33(6), pp.523~527 (1992)
- 구형준, "접형동에서 발생하여 해면정맥동과 중두개저를 침범한B세포 림프종 1예", 대한이비인후-두경부외과학회지, 49(11), pp.1113~1117 (2006), 대한이비인후과학회
- Skinnider BF, "Bcl-6 and Bcl-2 protein expression in diffuse large B-cell lymphoma and follicular lymphoma : correlation with 3q27 and 18q21 chromosomal abnormalities", Hum Pathol, 30(7), pp.803~808 (1999)
- 태경, "두경부 영역의 악성 림프종", 대한이비인후-두경부외과학회지, 46(4), pp.324~330 (2003), 대한이비인후과학회
- Feugier P, "Long-term results of the R-CHOP study in the treatment of elderly patients with diffuse large B-cell lymphoma : a study by the Groupe d’Etude des Lymphomes de l’Adulte", J Clin Oncol, 23(18), pp.4117~4126 (2005)
- Logsdon MD, "Lymphoma of the nasal cavity and paranasal sinuses : improved outcome and altered prognostic factors with combined modality therapy", Cancer, 80(3), pp.477~488 (1997)