Assuntos
Neoplasias Labiais/patologia , Neoplasias Pulmonares/patologia , Linfoma Extranodal de Células T-NK/patologia , Úlceras Orais/patologia , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Evolução Fatal , Humanos , Neoplasias Labiais/tratamento farmacológico , Neoplasias Labiais/etiologia , Neoplasias Labiais/radioterapia , Neoplasias Pulmonares/tratamento farmacológico , Linfoma Extranodal de Células T-NK/tratamento farmacológico , Linfoma Extranodal de Células T-NK/radioterapia , Masculino , Pessoa de Meia-Idade , Úlceras Orais/tratamento farmacológico , Úlceras Orais/etiologia , Úlceras Orais/radioterapiaRESUMO
A 40-year-old man presented with chronic nasal stuffiness and bloodstained discharge of 3 years' duration, along with a non-healing palatal ulcer since 2 months. Examination revealed a perforation in the midline on the hard palate and a superficial ulcer on the soft palate. Histopathology and immunohistochemistry suggested a diagnosis of extranodal nasal/nasal-type T-cell lymphoma. The patient was started on multiagent chemotherapy in the form of cyclophosphamide, doxorubicin, vincristine and prednisolone but succumbed after two cycles. Only one case of nasal T cell lymphoma presenting as nasal septal perforation, oronasal fistula and a concomitant palatal ulcer has been described. We report this case of a perforating palatal ulcer as a rare presentation of nasal lymphoma.