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Nasal-type extranodal NK/T-cell lymphoma presenting as recurrent periorbital cellulitis
  1. Mansoor Ali Hussein1,
  2. Seamus Boyle2,
  3. Shawkat Abdulrahman3 and
  4. Brendan Fennessy2
  1. 1otolaryngology, Tallaght Hospital, Dublin, Ireland
  2. 2Otolaryngology, Tallaght University Hospital, Dublin, Dublin, Ireland
  3. 3Otolaryngology, Tallaght Hospital, Dublin, Dublin, Ireland
  1. Correspondence to Dr Mansoor Ali Hussein; mansurealsalihi{at}gmail.com

Abstract

Nasal-type extranodal natural killer/T-cell lymphoma (ENKTCL) is a rare disease with a poor prognosis. It has features similar to other granulomatous and infectious diseases of the nose and paranasal sinuses, which can make diagnosis challenging and delayed. We present a case of 38-year-old man who was admitted to the hospital on three occasions over a 3-month period for right periorbital erythema, nasal congestion and discharge. Following two separate surgical debridement and biopsies, ENKTCL was diagnosed and the patient was commenced on chemoradiotherapy. The case highlights the atypical nature of his presentation and the high degree of suspicion for a pathological process that must be maintained to formulate the diagnosis.

  • cancer - see oncology
  • haematology (drugs and medicines)
  • ear
  • nose and throat/otolaryngology
  • head and neck cancer
  • otolaryngology / ENT

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Footnotes

  • Contributors MAH: substantial contributions to the conception or design of the work, or the acquisition, analysis or interpretation of data. MAH and SA: drafting the work or revising it critically for important intellectual content. SB: final approval of the version published. BF: agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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