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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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