Vol.95 No.6 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 95 No. 6 June 2002
A Case of Malignant Lymphoma in the Bilateral Nasal Cavity
Yukiko Fujimoto, Ang Yah Yee and Fuyuki Enomoto
(Juntendo Medical University)
A 76-year-old female consulted a local physician with chief complaints of nasal obstruction and repeated nasal bleeding. MRI of the head revealed a bilateral tumor shadow in the nasal cavity, and she was referred to our department and admitted. Anterior rhinoscopy demonstrated a probable right-sided hemangioma and left-sided nasal polyp. Subsequent diagnostic imaging led to a suspicion of bilateral hemangioma. After embolization of the feeder arteries, the tumors were removed. Pathological diagnoses was bilateral malignant Stage IE, B cell lymphoma. Tumors on each side were separate and independent without connection. The patient underwent 3 courses of chemotherapy and radiation therapy after surgery. Complete remission was achieved after treatment and there has been no recurrence to date. Review of the literature failed to identify any previous case of separate independent malignant lymphoma arising in both nasal cavities.
Key words : malignant lymphoma, bilateral, nasal cavity tumor