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Abstract • The records of 37 patients with lymphoma of the nose and paranasal sinuses in an 18-year period were studied. The symptoms were divided into three categories: (1) local symptoms: obstruction, bleeding, and rhinorrhea; (2) symptoms of invasion of adjacent structures: facial pain and ear fullness; and (3) systemic symptoms: fever, weight loss, and nocturnal sweating. The presence of an intranasal mass was the most common physical finding. Conventional tomography and computed tomography were helpful for diagnosis. Abnormalities were usually disclosed on biopsy specimens from the nose or mouth. As a rule, several sites in the nose and sinuses were involved. An early diagnosis of sinonasal lymphoma and other malignant neoplasms generally allows effective treatment; therefore, the otorhinolaryngologist should be alert for such disease and, if the clinical picture warrants, should add tomography to the diagnostic workup. (Arch Otolaryngol 1983;109:310-312) References 1. Gall EA, Mallory TB: Malignant lymphoma: A clinico-pathologic survey of 618 cases . Am J Pathol 1942;18:381-429. 2. Freeman C, Berg JW, Cutler SJ: Occurrence and prognosis of extranodal lymphomas . Cancer 1972;29:252-260.Crossref 3. Catlin D: Surgery for head and neck lymphomas . Surgery 1966;60:1160-1166. 4. Sofferman RA, Cummings CW: Malignant lymphoma of the paranasal sinuses . Arch Otolaryngol 1975;101:287-292.Crossref 5. Eichel BS, Harrison EG Jr, Devine KD, et al: Primary lymphoma of the nose including a relationship to lethal midline granuloma . Am J Surg 1966;112:597-605.Crossref 6. Aisenberg AC: Malignant lymphoma . N Engl J Med 1973;288:883-890.Crossref 7. Portlock CS, Glatstein E: The non-Hodgkin's lymphomas: Current concepts and management . Annu Rev Med 1978;29:81-91.Crossref 8. Ultmann JE, DeVita VT Jr: Hodgkin's disease and other lymphomas , in Isselbacher KJ, Adams RD, Braunwald E, et al (eds): Harrison's Principles of Internal Medicine , ed 9. New York, McGraw-Hill Book Co, 1980, pp 1633-1647. 9. Berard CW (moderator): A multidisciplinary approach to non-Hodgkin's lymphomas . Ann Intern Med 1981;94:218-235.Crossref 10. Silver WE, Daly JF, Friedman M: Reticulum cell sarcoma of the nose and paranasal sinuses . Arch Otolaryngol 1968;87:532-535.Crossref 11. Birt BD: Reticulum cell sarcoma of the nose and paranasal sinuses . J Laryngol Otol 1970;84:615-630.Crossref
Archives of Otolaryngology – American Medical Association
Published: May 1, 1983
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