Intravascular Lymphoma of the Inferior Turbinate: An Unusual Rhinologic Presentation of a Rare Neoplasm

Authors

  • Milabelle B. Lingan Department of Otorhinolaryngology Head & Neck Surgery University of Santo Tomas Hospital
  • Francis V. Roasa Department of Otorhinolaryngology Head & Neck Surgery University of Santo Tomas Hospital

DOI:

https://doi.org/10.32412/pjohns.v22i1-2.795

Keywords:

Intravascular lymphoma, Fever, Fever of Unknown Origin

Abstract

Objective: To present a unique case of intravascular lymphoma of the inferior turbinate because of its rarity, unusual clinical presentation and difficulty in establishing a diagnosis.

Design:      Case Report

Setting:      A tertiary hospital

Patient:      A 66-year-old male admitted to the hospital due to intermittent high grade fever of six months duration.

Result:  The patient presented with fever of unknown origin, and exhaustive laboratory, ancillary procedures and biopsies to rule in/out infectious, autoimmune and oncologic causes were performed to arrive at a diagnosis. Nasal endoscopy revealed an enlarged, hypertrophied and violaceous right inferior turbinate with watery to mucoid discharge and septal deviation to the right confirmed by CT scans of the paranasal sinuses. Functional Endoscopic Sinus Surgery (FESS), septoplasty and turbinoplasty with biopsy revealed Intravascular Lymphoma. Chemotherapy was deferred due to the deteriorating medical condition and the patient expired 7 months after the initial onset of symptoms.

Conclusion:  Patients who present with fever of unknown origin should undergo a thorough otorhinolaryngologic examination to exclude primary ENT conditions and ensure proper management. Given its rarity and multiplicity of presentation, it is extremely difficult to make a diagnosis of intravascular lymphoma. A high index of suspicion of Intravascular Lymphoma is necessary so that timely acquisition of tissue biopsy of any lesion involved will make a definite diagnosis.

Keywords: Intravascular lymphoma, Fever, Fever of Unknown Origin

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Published

2007-11-30

How to Cite

1.
Lingan MB, Roasa FV. Intravascular Lymphoma of the Inferior Turbinate: An Unusual Rhinologic Presentation of a Rare Neoplasm. Philipp J Otolaryngol Head Neck Surg [Internet]. 2007 Nov. 30 [cited 2024 Apr. 26];22(1-2):24-6. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/795

Issue

Vol. 22 No. 1-2 (2007): Philippine Journal of Otolaryngology-Head and Neck Surgery

Section

Case Reports

License

Copyright transfer (all authors; where the work is not protected by a copyright act e.g. US federal employment at the time of manuscript preparation, and there is no copyright of which ownership can be transferred, a separate statement is hereby submitted by each concerned author). In consideration of the action taken by the Philippine Journal of Otolaryngology Head and Neck Surgery in reviewing and editing this manuscript, I hereby assign, transfer and convey all rights, title and interest in the work, including copyright ownership, to the Philippine Society of Otolaryngology Head and Neck Surgery, Inc. (PSOHNS) in the event that this work is published by the PSOHNS. In making this assignment of ownership, I understand that all accepted manuscripts become the permanent property of the PSOHNS and may not be published elsewhere without written permission from the PSOHNS unless shared under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.