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Primary sinonasal non-Hodgkin’s lymphoma masquerading as chronic rhinosinusitis: an issue of routine histopathological examination

Published online by Cambridge University Press:  08 March 2006

Shih-Hung Chen ,
Chuan-Song Wu ,
Kuang-Han Chan ,
Yong-Tsung Hongh ,
Chia-Tung Shun  and
Chia-Ming Liu
Shih-Hung Chen
Affiliation:
Department of Otorhinolaryngology, Taipei Municipal Chung-Hsin Hospital, Taipei, Taiwan.
Chuan-Song Wu
Affiliation:
Department of Otorhinolaryngology, Taipei Municipal Chung-Hsin Hospital, Taipei, Taiwan.
Kuang-Han Chan
Affiliation:
Department of Otorhinolaryngology, Taipei Municipal Chung-Hsin Hospital, Taipei, Taiwan.
Yong-Tsung Hongh
Affiliation:
Department of Otorhinolaryngology, Taipei Municipal Chung-Hsin Hospital, Taipei, Taiwan.
Chia-Tung Shun
Affiliation:
Department of Forensic Medicine National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
Chia-Ming Liu
Affiliation:
Department of Otorhinolaryngology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
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Abstract

Primary non-Hodgkin’s lymphoma (NHL) of the sinonasal tract is uncommon. Morphologically and radiographically, sinonasal lymphomas are difficult to distinguish fromother malignant neoplasms or non-neoplastic processes. However, there is no general consensus about the need of routine histopathological examination for nasal polyps among otolaryngologists. We present a case of primary sinonasal NHL mimicking chronic hinosinusitis and debate the issue of routine histopathological examination. We suggest that all tissues removed from the sinonasal tract during surgery must be submitted for histopathological examination. Failure to do so may miss diagnosis and delay appropriate treatment.

Keywords

Lymphoma Non-HodgkinsParanasal Sinus DiseasesPathology
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 117 , Issue 5 , May 2003 , pp. 404 - 407
Copyright
© Royal Society of Medicine Press Limited 2003

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