Abstract
We report the case of a 45-year old woman with a six-month history of persistent headache, right nasal obstruction, recurrent epistaxis and right eye swelling. Examination revealed obvious facial asymmetry, enophthalmos, right maxillary and zygomatic swelling with an intranasal mass exhibiting contact bleeding. Plain roentgenograms revealed erosion of the surrounding bones. Patient had right lateral rhinotomy to clear the tumour and arrest epistaxis. Histological examination of the biopsy revealed a polymorphic neoplasm composed of a mixture of small lymphoid cells and atypical large histiocytoid cells with foci of necrosis. These features were consistent with midline malignant reticulosis. This is a relatively rare condition and this is the first case recorded in this centre. Keywords: Midline malignant reticulosis; Histopathology; Rare Sahel Medical Journal Vol. 11 (3) 2008: pp. 102-104
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