Primary Lymphoma of the Temporal Bone: The First Locally Reported Case

Authors

  • Julie Ann G. Uy Department of Otorhinolaryngology – Head and Neck Surgery De La Salle Health Sciences Institute - De La Salle University Medical Center
  • Jose Carlos Z. Jugo Department of Otorhinolaryngology – Head and Neck Surgery De La Salle Health Sciences Institute - De La Salle University Medical Center
  • Jose M. Acuin Department of Otorhinolaryngology – Head and Neck Surgery De La Salle Health Sciences Institute - De La Salle University Medical Center

DOI:

https://doi.org/10.32412/pjohns.v23i2.733

Keywords:

non-Hodgkin's lymphoma, Temporal bone

Abstract

Objective: To report a case of primary non-Hodgkin’s T-cell lymphoma in the temporal bone in a pediatric patient, discussing clinical presentation and course, diagnostic evaluation and management in the light of published literature.  

Methods:

Design: Case report

Setting: Private tertiary university hospital

Patient: One

Results: An 8-year-old female with a 10-month history of otalgia and ipsilateral headache developed facial paralysis, unresponsive to topical otic drops and oral antibiotics. Imaging revealed mastoid sclerosis, tegmental and ossicular erosions, and an attico-antral mass which was excised through exploratory tympanomastoidectomy. Final histopath following immunohistochemical corroboration was T-cell lymphoma.

Conclusion: Primary malignant lymphoma of the temporal bone may initially present with otalgia and headache unresponsive to conventional medical management. Ominous signs like facial paralysis should heighten the suspicion of malignancy warranting prompt imaging of the temporal bone.  Histopathologic evaluation of all mastoidectomy specimens should be mandatory especially in children, and special stains performed as needed. Patients with T cell NHL should undergo chemotherapy and may warrant closer follow up for tumor recurrence and disease progression.     

 Keywords: non-Hodgkin's lymphoma, Temporal bone

 

 

Downloads

Download data is not yet available.

Downloads

Published

2008-12-27

How to Cite

1.
Uy JAG, Jugo JCZ, Acuin JM. Primary Lymphoma of the Temporal Bone: The First Locally Reported Case. Philipp J Otolaryngol Head Neck Surg [Internet]. 2008 Dec. 27 [cited 2024 Jul. 17];23(2):23-7. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/733