Non-Hodgkin's lymphoma of the head and neck: CT evaluation of nodal and extranodal sites

Harnsberger, H. Ric; Dg, Bragg; Osborn, A.G.; Smoker, W. R. K.; Wp, Dillon; Rk, Davis; Stevens, MH; Hill, D. P.

doi:10.2214/ajr.149.4.785

Cited by 51 publications

(22 citation statements)

References 8 publications

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“…Nodal necrosis is frequently observed in metastatic squamous cell carcinoma of the head and neck. The presence of this finding should prompt to pursue searching for an undetected primary squamous neoplasm (10). In our case, we could not find any source for metastatic lymph node during diagnostic endoscopies and imaging.…”

Section: Discussionmentioning

confidence: 55%

A Case Report of Diffuse Large B-cell Lymphoma Masquerading as Necrotizing Lymph Nodes: The Role of Core Needle Biopsy for Early Diagnosis

et al. 2018

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Introduction: Complete lymph node necrosis is a rare condition. Excisional biopsy of infarcted lymph node could wrongly lead physicians to benign diagnoses such as Kikuchi-Fujimoto disease, while malignant lymphoma progresses. Case Presentation: A 33-year-old man was referred with gradual enlargement of a left submandibular mass which had recently become painful. The patient had no dysphagia, odynophagia, dysphonia, dyspnea, coughing, nasal obstruction, tooth ache or epistaxis. Three masses were detected by physical examination and computed tomography. There were no signs of malignancy in fine needle aspiration and excisional biopsy. The patient was finally diagnosed by core needle biopsy under ultrasonography guidance and a second excisional biopsy. Conclusions:The core needle biopsy under ultrasonography guidance could help choosing the optimal lymph node among multiple necrotizing lymph nodes and would prevent more invasive procedures. We emphasize that physicians should keep a high clinical suspicion for lymphoma even if the initial excisional biopsy of an infarcted lymph node is negative.

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Section: Discussionmentioning

confidence: 55%

A Case Report of Diffuse Large B-cell Lymphoma Masquerading as Necrotizing Lymph Nodes: The Role of Core Needle Biopsy for Early Diagnosis

et al. 2018

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“…Virtually any site in the extracranial head and neck can be affected by NHL and three distinct categories of involvement can occur. Nodal NHL is the most common, followed by extranodal lymphatic (Waldeyer's lymphatic ring) and extranodal extralymphatic sites (orbit, sinus, nose, mandible, deep facial spaces, parotid gland, and dermis) [12]. In the case reported here, the patient's MRI scan pointed to a primary lesion originary of the extranodal lymphatic Waldeyer ring (nasopharynx) with multivectorial spread to other extranodal extralymphatic Primary nasopharyngeal NHL is infrequent in adults, representing a small fraction (10-28%) of Waldeyer's ring lymphomas [4], with a higher incidence in males in the sixth decade of life [13].…”

Section: Discussionmentioning

confidence: 99%

B Lymphoblastic Lymphoma Presenting as a Tumor of the Nasopharynx in an Adult Patient

Silva

Fernandes

Lopes

et al. 2010

Head and Neck Pathol

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In adults, non-Hodgkin's lymphoma (NHL) is the second most common neoplasm found in the head and neck region after squamous cell carcinoma. Within this region, primary NHL of the nasopharynx is rare. We report the case of a 28-year-old male diagnosed with a B lymphoblastic lymphoma (CD20-; CD79a+; CD3-; CD10+; PAX5+, CyclinD1-; TdT+) of the nasopharynx extending to the deep and superficial structures of the right hemiface, to the skull base with an intracranial component and a small but detectable bone marrow involvement, who was started on chemotherapy with a complete response. To the best of our knowledge, this is the first case of a primary nasopharynx B-LBL in an adult patient with such aggressive regional spread to be reported in the literature.

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“…Involvement of the masticator muscles by lymphoma is particularly uncommon [8,9,10,11]. Imaging plays an important role in assessing such extranodal extralymphatic sites of the head and neck, which unlike disease in Waldeyer's lymphatic ring or in the cervical lymph nodes, cannot be evaluated clinically.…”

Section: Discussionmentioning

confidence: 99%

“…They also demonstrated isointensity relative to muscle on T1-weighted images, with their conspicuity being due to its mass effect rather than signal intensity, and hyperintensity on T2-weighted images. Such isolated enlargement of the muscles of mastication can also be seen with benign masseteric hypertrophy, proliferative myositis and malignant infiltration due to leukaemia or rhabdomyosarcoma [10,11]. Malignancy a b Fig.…”

Section: Discussionmentioning

confidence: 99%

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Recurrence of non-Hodgkin's lymphoma isolated to the right masticator and left psoas muscles

2000

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We present the clinical and magnetic resonance imaging findings of a patient who, following treatment for pancreatic non-Hodgkin's lymphoma (NHL), relapsed with apparently isolated involvement of the right masticator space and left psoas muscles. Non-Hodgkin's lymphoma arising from the masticator space muscles is very rare. In addition, simultaneous lymphomatous involvement of multiple discrete skeletal muscle sites, in the absence of disease elsewhere, has previously only been reported in the limb or limb girdle muscles. Lymphoma should be considered as a cause of isolated enlarged skeletal muscles, even when involving such distant sites.

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Non-Hodgkin's lymphoma of the head and neck: CT evaluation of nodal and extranodal sites

Cited by 51 publications

References 8 publications

A Case Report of Diffuse Large B-cell Lymphoma Masquerading as Necrotizing Lymph Nodes: The Role of Core Needle Biopsy for Early Diagnosis

A Case Report of Diffuse Large B-cell Lymphoma Masquerading as Necrotizing Lymph Nodes: The Role of Core Needle Biopsy for Early Diagnosis

B Lymphoblastic Lymphoma Presenting as a Tumor of the Nasopharynx in an Adult Patient

Recurrence of non-Hodgkin's lymphoma isolated to the right masticator and left psoas muscles

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