Lymphoma of pharynx and both orbits

Case contributed by Prof Oliver Hennessy

Presentation

Hoarseness and diplopia.

Patient Data

Age: 80
Gender: Male
Modality: CT

Soft tissue mass centred on the lateral and posterior hypopharyngeal walls and extending up into the distal right posterolateral oropharyngeal wall. No lymphadenopathy.

Soft tissue mass in subcutaneous tissues overlying the left body of mandible..

The soft tissue along the infero-medial aspects of bilateral orbits is unchanged. It is both intraconal and extraconal on the right.

Opacification of the right maxillary sinus with central high density material is unchanged in appearance.

Conclusion:

Right postero-lateral pharyngeal and bilateral orbital masses, consistent with lymphoma.

Case Discussion

The differential diagnosis of a soft tissue mass in the oropharynx/hypopharynx is squamous cell carcinoma and lymphoma.

Soft tissue masses in both orbits include lymphoma or pseudo-tumours. Metastases from carcinoma and melanoma should also be considered.

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Case Information

rID: 33516
Case created: 15th Jan 2015
Last edited: 8th Sep 2015
System: Head & Neck
Inclusion in quiz mode: Included

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