Diffuse Large B-Cell Lymphoma of the Frontal Sinus Presenting as a Pott Puffy Tumor: Case Report
| Autor: | Goran Lakičević, Nickalus R. Khan, Thomas R. Callihan, Kenan I. Arnautović, George L. Burruss |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Pathology medicine.medical_treatment Dura mater lcsh:Surgery diffuse large B-cell lymphoma lcsh:RC346-429 Article medicine case report frontal sinus Sinusitis lcsh:Neurology. Diseases of the nervous system Craniotomy Sinus (anatomy) Frontal sinus business.industry Pott puffy tumor lcsh:RD1-811 medicine.disease medicine.anatomical_structure Forehead Surgery Histopathology Neurology (clinical) business Diffuse large B-cell lymphoma |
| Zdroj: | Journal of Neurological Surgery Reports Journal of Neurological Surgery Reports, Vol 76, Iss 01, Pp e23-e27 (2015) |
| ISSN: | 2193-6366 2193-6358 |
| DOI: | 10.1055/s-0034-1543996 |
| Popis: | Objective Sinonasal non-Hodgkin lymphoma (NHL) is a very rare condition. NHL located specifically in the frontal sinus is even rarer with only 14 cases in the literature reported to date. A unique case of diffuse large B-cell lymphoma of the frontal sinus that presented first and was treated as suspected Pott puffy tumor is presented along with a review of the literature. Case Report A 69-year-old white man with a history of sinusitis and two recent endoscopic sinus surgeries presented with enlargement of his right forehead. Computed tomography and magnetic resonance images revealed a dense opacification of the frontal sinus bilaterally, thickening and enhancement of the dura mater behind the right frontal sinus, and local osteomyelitis-like lytic bone changes. A bifrontal craniotomy was performed. Radical exoneration of the frontal sinus, copious antibiotic-impregnated irrigation after culture swabs, and resection of presumed granulation tissue was performed. Culture swabs remained negative, but histopathology revealed diffuse large B-cell lymphoma. Subsequent chemotherapy was administered. Conclusion Sinonasal NHL is very rare but can occur in the frontal sinus and may present as a suspected Pott puffy tumor. A high clinical suspicion is necessary for early diagnosis and treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|