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B-cell non-Hodgkin's lymphoma of the paranasal sinuses

Published online by Cambridge University Press:  29 June 2007

Solaiman Juman ,
Philip Robinson ,
Avinash Balkissoon  and
Kara Kelly
Solaiman Juman*
Affiliation:
Department of Otolaryngology, Hospital for Sick Children, Great Ormond Street, London WCIN 3JH.
Philip Robinson
Affiliation:
Department of Otolaryngology, Hospital for Sick Children, Great Ormond Street, London WCIN 3JH.
Avinash Balkissoon
Affiliation:
Department of Radiology, Hospital for Sick Children, Great Ormond Street, London WCIN 3JH
Kara Kelly
Affiliation:
Department of Haematology,Hospital for Sick Children, Great Ormond Street, London WCIN 3JH
*
Mr Solaiman Juman, Department of Otolaryngology, Hospital for Sick Children, Great Ormond Street, London WC1N 3JH
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Abstract

Primary nasal, paranasal, oral and pharyngeal (NPOP) lymphoma, thought to be a distinct entity among childhood lymphomas, may present with a wide variety of common ENT symptoms such as nasal obstruction, rhinorrhoea, epistaxis or sinusitis. The diagnosis may only be recognized when the disease results in symptoms such as visual loss, facial paraesthesia or lymphadenopathy, or systemic symptoms, such as fatigue, bone pain or abdominal pain

Full radiological assessment plays a vital part in making the diagnosis and planning treatment. Computerized tomography (CT) gives excellent bony detail but magnetic resonance imaging (MRI) using T2-weighted images, allows differentiation of mucosal thickening and retained sinus secretions from the tumour. Extension into the surrounding spaces and the cranial fossa is best assessed by coronal and sagittal T2 images.

MRI is the best technique for follow-up because no radiation is involved and better soft tissue delineation improves the distinguishing of tumour from fibrosis.

Keywords

Paranasal sinus neoplasmsLymphoma, non-Hodgkin'sTomography, X-ray computedmagnetic resonance imaging
Type
Radiology in Focus
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 3 , March 1994 , pp. 263 - 265
Copyright
Copyright © JLO (1984) Limited 1994

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References

Burkitt, D. P. (1959) A sarcoma involving the jaws in African children. British Journal of Surgery 46: 218–223.Google Scholar
Burkitt, D. P., Kyalwazi, S. K. (1969) African (Burkitt’s) lymphoma: characteristic features of response to therapy. In Neoplasia in Childhood. Year Book Medical Publishers Inc., Chicago, pp 281–291.Google Scholar
Ellinger, R. E, Kelly, W. H. (1989) Maxillary sinus lymphoma: a consideration in the diagnosis of odontogenic pain. Journal of Endodontics 15: 90–93.Google Scholar
Fellbaum, C., Hansmann, M. L., Lennert, K. (1989) Malignant lymphomas of the nasal cavity and paranasal sinuses. Virchows Archives. A, Pathological Anatomy and Histopathology 414: 399–405.Google Scholar
Iwatsuji, K., Fukuyama, H., Shio, H., Nakamura, S. (1989) A case of Burkitt’s lymphoma with numb chin syndrome as the initial manifestation. Rinsho Shinkeigaku, Clinical Neurology 29: 764–768.Google Scholar
Lalli, A. F. (1969) Lymphoma and the urinary tract. Radiology 93: 1051–1054.Google Scholar
Levine, D. H., Kamarju, L. S., Connelly, R. R., Berard, C. W., Dorfman, R. F., Magrath, I., Easton, J. M. (1982) The American Burkitt’s Lymphoma Registry: eight years’ experience. Cancer 49: 1016–1022.Google Scholar
Lloyd, G. A. S., Lund, V., Phelps, P. D., Howard, D. J. (1987) Magnetic resonance imaging in the evaluation of nose and paranasal sinus disease. British Journal of Radiology 60: 957–968.CrossRefGoogle ScholarPubMed
Philip, T, Lenoir, G. M., Bryon, P. A., Gerard-Marchant, R., Souillet, G., Philippe, N., Freycon, F., Brunat-Mentigny, M. (1982) Burkitt-type lymphoma in France among non-Hodgkin malignant lymphomas in Caucasian children. British Journal of Cancer 45 (5): 670–678.Google Scholar
Rubie, H., Patie, C, Leverger, G., Philip, T., Quintana, E., Rialland, X., Boutard, P., Benz-Lemoine, E., Otten, J., Taboureau, O., Frappaz, D. (1988) Preliminary results of the protocol LMB86 of the French Pediatric Oncology Society (SFOP) for B-cell non-Hodgkin’s lymphoma (NHL) with CNS involvement and B-ALL. Medical and Pediatric Oncology 16: 406–407 (Abstract).Google Scholar
Rubin, M. M., Sanfilippo, R. J. (1992) Lymphoma of the paranasal sinuses presenting as cavernous sinus syndrome. Journal of Oral and Maxillofacial Surgery 50: 749–751.Google Scholar
Som, P. M., Shapiro, M. D., Biller, H. F., Sasaki, C., Lawson, W. (1988) Sinonasal tumours and inflammatory tissues; differentiation with MR imaging. Radiology 167: 803–808.CrossRefGoogle ScholarPubMed
Wollner, N., Mandel, L., Filippa, D., Exelby, P., McGowan, N., Lieberman, P. (1990) Primary nasal-paranasal oropharyngeal lymphoma in the pediatric age group. Cancer 65: 1438–1444.Google Scholar
Yang, P. J., Carmody, R. E, Seeger, J. F. (1986) Computed tomography in hematologic malignancies of paranasal sinuses. Journal of Computer Assisted Tomography 10: 1003–1005.Google Scholar