EXTRANODAL LYMPHOMA OF T CELLS/NATURAL KILLER NASAL TYPE: A CASE REPORT

Abstract

A 31-year-old male patient presented to the stomatology service complaining of pain in the palate approximately 25 days and reported having used Gingilone (Farmasa) and sulfamethoxazole and trimethoprim (Bactrim (Roche)) without improvement. During extraoral examination, cervical lymphadenomegaly with inflammatory characteristics was observed. Oroscopy revealed a single ulcerated lesion of yellowish color, rough and irregular in the midline, extending until the region of the hard palate to the oropharynx. With a deep invasive fungal infection and lymphoma hypothesis, incisional biopsy was performed, confirming the diagnosis of extranodal natural killer/T-cell lymphoma, nasal type. The patient was referred to the oncology service, undergoing radiotherapy treatment satisfactorily but with bone sequestration and oronasal fistula in the palate region. The patient remains in follow-up, and an obturator prosthesis is performed provisionally for improvement of diet and phonation. A 31-year-old male patient presented to the stomatology service complaining of pain in the palate approximately 25 days and reported having used Gingilone (Farmasa) and sulfamethoxazole and trimethoprim (Bactrim (Roche)) without improvement. During extraoral examination, cervical lymphadenomegaly with inflammatory characteristics was observed. Oroscopy revealed a single ulcerated lesion of yellowish color, rough and irregular in the midline, extending until the region of the hard palate to the oropharynx. With a deep invasive fungal infection and lymphoma hypothesis, incisional biopsy was performed, confirming the diagnosis of extranodal natural killer/T-cell lymphoma, nasal type. The patient was referred to the oncology service, undergoing radiotherapy treatment satisfactorily but with bone sequestration and oronasal fistula in the palate region. The patient remains in follow-up, and an obturator prosthesis is performed provisionally for improvement of diet and phonation.