Tonsillar lymphoma

Case contributed by Dr Smita Deb

Presentation

Rapidly enlarging tonsils.

Patient Data

Age: 76
Gender: Male
Modality: MRI

Left tonsillar fossa well-defined ovoid lesion with signal isointense to muscle in T1WI, slight hyperintensity in T2WI and mild homogeneous contrast enhancement (3.3 x 3.7 x 4.8 cm).

Mass displaces the parapharyngeal fat space and abuts and displaces the tongue base. However, no evidence of direct invasion into the tongue. No perineural invasion or lymphadenopathy.

There are 2 mildly enlarged left level II nodes, with the largest measuring 12x10mm. Both lymph nodes demonstrate low ADC values.

Case Discussion

Case submitted by Dr Smita Deb and A/Prof Pramit Phal.

Left palatine tonsil mass- the patient went on to have a biopsy of his left tonsil which showed diffuse large B-cell lymphoma.

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Case Information

rID: 32045
Case created: 11th Nov 2014
Last edited: 27th Sep 2015
System: Head & Neck
Inclusion in quiz mode: Included

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