A Case of Primary Large B-cell Lymphoma of Larynx Presenting as Supraglottic Mass

성문상부 종물 양상의 일차성 후두 Large B세포 림프종 1예

  • Choi, Jeon Ha (Department of Otolaryngology-Head and Neck surgery, Veterans Health Service Medical Center) ;
  • Kim, Choon Dong (Department of Otolaryngology-Head and Neck surgery, Veterans Health Service Medical Center) ;
  • Kim, Yoon Jung (Department of Pathology, Veterans Health Service Medical Center) ;
  • Kim, Seung Woo (Department of Otolaryngology-Head and Neck surgery, Veterans Health Service Medical Center)
  • 최전하 (중앙보훈병원 이비인후과) ;
  • 김춘동 (중앙보훈병원 이비인후과) ;
  • 김윤정 (중앙보훈병원 병리과) ;
  • 김승우 (중앙보훈병원 이비인후과)
  • Received : 2015.03.19
  • Accepted : 2015.04.27
  • Published : 2015.05.30

Abstract

The extranodal non-Hodgkin lymphoma is uncommonly occurred in larynx, accounting for less than 1% of all laryngeal neoplasm. In general, the laryngeal lymphoma is appeared as submucosal mass without mucosal ulceration and is most commonly found in supraglottis. The primary laryngeal lymphoma constitute a diagnostic challenge because they are characterized by absence of clinical and gross differential criteria, compared with squamous cell carcinoma (SCC). We encountered a 74-year-old man with hoarseness and lump sensation in the throat. On direct laryngoscope, multiple ulcerative and exudative mass in glottis and supraglottic areas were observed. The patient was finally diagnosed as large B-cell lymphoma through the laryngeal microsurgery. He received radiation therapy and there is no evidence of recurrence. Although the laryngeal mass has superficial mucosal change, primary laryngeal lymphoma must be included in the differential diagnosis.

Keywords

References

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