Diffuse large B-cell lymphoma: an unusual cause of severe otalgia and facial palsy.
An elderly woman, two months after chemotherapy for diffuse large B-cell lymphoma, presented with left-sided otalgia, discharge and facial nerve palsy. MRI showed an active left mastoid infection with an ear canal lesion, likely to be a cholesteatoma. However, a biopsy of the mass showed recurrent high-grade lymphoma. Following diagnosis, the patient opted for palliative care within the community and consequently passed away a few weeks later.
Department of Otolaryngology, Brighton and Sussex University Hospitals, Brighton, UK.
Udaya
U
Reddy
Jessica
J
Bewick
Catriona
C
Good
Timothy
T
Chevassut
Prodip K
PK
Das-Purkayastha
D000368:Aged; D001706:Biopsy; D003937:Diagnosis, Differential; D004433:Earache / Q000175:diagnosis / Q000209:etiology*; D005158:Facial Paralysis / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications*; D008279:Magnetic Resonance Imaging; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed