title: Extranodal NK/T cell lymphoma presenting as palatal perforation with oronasal fistula.
abstract: A 26 years old female presented with fever, nasal stuffiness with blood stained purulent discharge, nasal twang in voice along with non-healing palatal ulcers since three months. Examination revealed a paramidline perforation in the hard palate causing oronasal fistula formation. Histopathology and immunohistochemistry suggested a diagnosis of extranodal Natural Killer (NK)/T cell lymphoma. Multi-agent chemotherapy was instituted. We report this extremely rare case of Non-Hodgkin's Lymphoma (NHL) of the extranodal NK/T cell variety presenting as palatal perforation.
authors.affiliation: Department of Medicine, LTM Medical College and LTMG Hospital, Sion, Mumbai-400022.
authors.forename: Sachin V
authors.initials: SV
authors.lastname: Chaudhary
authors.forename: Niteen D
authors.initials: ND
authors.lastname: Karnik
authors.forename: Girish R
authors.initials: GR
authors.lastname: Sabnis
authors.forename: Milind V
authors.initials: MV
authors.lastname: Patil
authors.forename: Renuka A
authors.initials: RA
authors.lastname: Bradoo
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005402:Fistula / Q000209:etiology*; D006801:Humans; D007150:Immunohistochemistry; D007694:Killer Cells, Natural; D016399:Lymphoma, T-Cell / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D009062:Mouth Neoplasms / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D009668:Nose Diseases / Q000209:etiology*; D009669:Nose Neoplasms / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D016155:Oral Fistula / Q000209:etiology*; D019226:Oral Ulcer / Q000473:pathology; D021362:Palate, Hard / Q000473:pathology; D016896:Treatment Outcome