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구인두와 성문상부에 발생한 결절 외 비성 NK/T 세포 림프종 1예

A Case of Extranodal NK/T-cell Lymphoma, Nasal Type of the Oropharynx and Supraglottis

  • 백훈희 (중앙보훈병원 이비인후과) ;
  • 임성환 (중앙보훈병원 이비인후과) ;
  • 이미지 (중앙보훈병원 병리과) ;
  • 김승우 (중앙보훈병원 이비인후과)
  • Baek, Hun Hee (Department of Otolaryngology-Head and Neck Surgery, Veterans Health Service Medical Center) ;
  • Lim, Sung Hwan (Department of Otolaryngology-Head and Neck Surgery, Veterans Health Service Medical Center) ;
  • Lee, Mi Ji (Department of Pathology, Veterans Health Service Medical Center) ;
  • Kim, Seung Woo (Department of Otolaryngology-Head and Neck Surgery, Veterans Health Service Medical Center)
  • 투고 : 2016.12.16
  • 심사 : 2017.02.10
  • 발행 : 2017.05.30

초록

The extranodal nasal NK/T-cell lymphoma was formerly known as lethal midline granuloma due to its most common clinical pattern like a destructive midline facial tumor. It often spread to other extranodal sites, such as skin, soft tissue, testis, upper respiratory tract, and gastrointestinal tract etc. For this reason, the term of extranodal NK/T-cell lymphoma, nasal type is preferred. Its disease entity may have a prominent admixture of inflammatory cells and necrotic tissues, further causing difficulty in diagnosis. A 44-year-old man was visited to our clinic with complaints of dysphagia and odynophagia during six months. He underwent three times punch biopsies and then, two times incisional biopsies. Finally, He was diagnosed as extranodal NK/T-cell lymphoma, nasal type involving oropharynx and supraglottis. We report an extremely rare case of extranodal NK/T-cell lymphoma, nasal type occurred in oropharynx and supraglottis with a brief review of literature.

키워드

참고문헌

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