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Pathology Quiz CaseDiagnosis
Arch Otolaryngol Head Neck Surg. 2003;129:1136.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Diagnosis: Nasal T/NK-cell lymphoma
Clinical manifestations of nasal T/NK-cell lymphomas may simulate those of other disease entities, and inadequate nasal biopsies may lead to nonspecific histopathologic pictures; therefore, early diagnosis of these lymphomas is a real challenge for both otolaryngologists and pathologists. Nasal T/NK-cell lymphomas usually present as extremely destructive lesions over the nasal cavities, paranasal sinuses, or nasopharynx, showing a necrotic and angioinvasive histopathologic pattern. In the past, they were included under the nebulous and descriptive term lethal midline granuloma.1 With the advance of immunohistochemical analysis and a growing understanding of sinonasal lymphomas, nasal T/NK-cell lymphomas could be distinguished from other groups of lethal midline granulomas, including infectious (such as tuberculosis) and noninfectious (such as WG) lesions.2
While sinonasal lymphomas are rare among Western populations, they are of significantly higher incidence in the Asian world, accounting for 2.6% to 6.7% of all non-Hodgkin lymphomas. It is interesting that 90% of the sinonasal . . . [Full Text of this Article]
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Pathology Quiz Case
Hung-Li Chen, Po-Wen Cheng, and Chien-Chen Tsai
Arch Otolaryngol Head Neck Surg. 2003;129(10):1135-1136.
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