Non-Hodgkin lymphoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Right cervical and facial palpable masses on physical exam.

Patient Data

Age: 55 years
Gender: Male
ct

Enhancing tumoral lesion is present at the superolateral aspect of right orbit measuring 45×20×40 mm, causing lateral orbital wall bony destruction. A 38×17×30 mm extra orbital component is also evident. Apparent globe involvement is not seen.

The lytic expansile lesion is noted at the posterolateral wall of the right maxillary sinus. Mucosal thickening is present at both maxillary sinuses, frontal sinus, and some ethmoidal air cells.

The right parotid gland is enlarged and shows inhomogeneous enhancement.

Several enlarged lymph nodes are seen in upper cervical regions with a maximum SAD of 28 mm. 

Case Discussion

Pathology proved non-Hodgkin lymphoma with infiltration of the orbit, maxillary sinus walls, parotid gland, and cervical lymph nodes on the right side.
 

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