Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-24T02:45:20.430Z Has data issue: false hasContentIssue false

Primary non-Hodgkin's lymphoma of the larynx in an AIDS patient

Published online by Cambridge University Press:  29 June 2007

Ricard Simo*
Affiliation:
Departments of Otorhinolaryngology and Head and Neck Surgery, North Manchester General Hospital, Manchester, UK.
Christopher Hartley
Affiliation:
Departments of Otorhinolaryngology and Head and Neck Surgery, North Manchester General Hospital, Manchester, UK.
Tass Malik
Affiliation:
Departments of Otorhinolaryngology and Head and Neck Surgery, North Manchester General Hospital, Manchester, UK.
Godfrey E. Wilson
Affiliation:
Departments of Histopathology, North Manchester General Hospital, Manchester, UK.
Peter H. Taylor
Affiliation:
Departments of Otorhinolaryngology and Head and Neck Surgery, North Manchester General Hospital, Manchester, UK.
Bibhat K. Mandal
Affiliation:
Departments of Infectious Diseases, North Manchester General Hospital, Manchester, UK.
*
Address for correspondence: Mr Ricard Simo, F.R.C.S., 12 Rutland Road, Worsley, Manchester M28 7DT.

Abstract

A case of primary non-Hodgkin's lymphoma of the larynx in an AIDS patient is presented with a review of the literature. Non-Hodgkin's lymphomas in AIDS patients are common but the primary laryngeal presentation is very rare. The symptoms usually include dysphonia and progressive airway obstruction requiring tracheostomy. As with laryngeal non-Hodgkin's laryngeal lymphomas in non-HIV positive patients the majority are of B cell lineage and respond well to radiotherapy. Our patient had a high grade lymphoma of B cell lineage which showed a good response to radiotherapy. The role of chemotherapy and surgery is not yet established. We suggest that the diagnosis of AIDS should not influence the management of these patients unless the individual is in the terminal disease stage.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bullingham, A., Mackenzie, S. (1989) Laryngeal obstruction in HIV infection. Anaesthesia 44: 10031004.CrossRefGoogle ScholarPubMed
Cohn, J. A. (1997) Recent advances: HIV infection -1. British Medical Journal 314: 487490.CrossRefGoogle Scholar
Corey, J. P., Seligman, I. (1991) Otolaryngology problems in the immune compromised patient - An evolving natural history. Otolaryngology - Head and Neck Surgery 104: 197203.CrossRefGoogle ScholarPubMed
Diebold, J., Audouin, J., Viry, B., Ghandour, C, Betti, B., D'Ornano, G. (1990) Primary lymphoplasmacytic lymphoma of the larynx: A rare localization of malt-type lymphoma. Annals of Otology, Rhinology and Laryngology 99: 577580.CrossRefGoogle ScholarPubMed
Friedmann, I., Piris, J. (1986) Neoplasms of the larynx. In Systemic Pathology. 3rd Edition. Vol 1, Churchill Livingstone, Edinburgh, pp 242243.Google Scholar
Horny, H. P., Kaiserling, E. (1995) Involvement of the larynx by hemopoietic neoplasms. An investigation of autopsy cases and review of the literature. Pathology Research Practice 191: 130138.CrossRefGoogle ScholarPubMed
Isaacson, P. G., Norton, A. J. (1994) Extranodal lymphoma in immunodeficiency states. In Extranodal lymphomas. 1st Edition, Churchill Livingstone, Edinburgh, pp 299313.Google Scholar
Kleinsasser, O. (1988) Tumours of the lymphoreticular system. In Tumors of the Larynx and Hypopharynx. 1st Edition, Georg Thieme Verlag, Stuttgart, Thieme Medical Publishers, Inc., New York, pp 296300.Google Scholar
Laing, R. B. S., Wardrop, P. J. C, Welsby, P. D., Brettle, R. P. (1995) Stridor in patients with HIV infection. Journal of Laryngology and Otology 109: 11971199.CrossRefGoogle ScholarPubMed
Leess, F. R., Kessler, D. J., Mickel, R. A. (1987) Non- Hodgkin's lymphoma of the head and neck in patients with AIDS. Archives of Otolaryngology - Head and Neck Surgery 113: 11041106.CrossRefGoogle ScholarPubMed
Marcusen, D. C, Sooy, C. D. (1985) Otolaryngologic and head and neck manifestations of acquired immunodeficiency syndrome (AIDS). Laryngoscope 85: 401405.CrossRefGoogle Scholar
Mackenty, J. E. (1934) Malignant disease of the larynx. Archives of Otolaryngology 20: 295328.Google Scholar
Morgan, K., MacLennan, K. A., Nerula, A., Bradley, P. J., Morgan, D. A. L. (1989) Non-Hodgkin's lymphoma of the larynx(Stage IE). Cancer 64: 11231127.3.0.CO;2-Z>CrossRefGoogle ScholarPubMed
Munoz, A., Gamez Anson, B., Abad, L. (1994) Squamous cell carcinoma of the larynx in a 29-year-old man with AIDS. American Journal of Roentgenology 162 (1): 232.CrossRefGoogle Scholar
Siegel, R. J., Browning, D., Schwartz, D. A., Hudgins, P. A. (1992) Cytomegaloviral laryngitis and probable malignant lymphoma of the larynx in a patient with acquired immunodeficiency syndrome. Archives of Pathology and Laboratory Medicine 116: 539541.Google Scholar
Sparano, J. A. (1995) Treament of AIDS-related lymphomas. Current Opinion in Oncology 7: 442449.CrossRefGoogle Scholar
Stafford, N. D., Herdman, R. C. D., Forster, S., Munro, A. J. (1989) Kaposi's sarcoma of the head and neck in patients with AIDS. Journal of Laryngology and Otology 103: 379382.CrossRefGoogle ScholarPubMed
Swerdlow, J. B., Merl, S. A., Davey, F. R., Gacek, R. R., Gottlieb, A. J. (1984) Non-Hodgkin's lymphoma limited to the larynx. Cancer 53: 25462549.3.0.CO;2-Y>CrossRefGoogle Scholar