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 CASE REPORT
Year : 2006  |  Volume : 72  |  Issue : 3  |  Page : 218--221

Nasal extranodal NK/T-cell lymphoma presenting as a perforating palatal ulcer: A diagnostic challenge


Department of Dermatology, Seth GS Medical College and KEM Hospital, Parel, Mumbai, India

Correspondence Address:
Vidya Kharkar
Department of Dermatology, Seth GS Medical College and KEM Hospital, Parel, Mumbai 12
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.25784

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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.






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Online since 15th March '04
Published by Wolters Kluwer - Medknow