title: Nasal type NK/T-cell lymphoma - diagnosis and treatment difficulties.
abstract: Primary nasal lymphomas are rare. One of the most common cellular subtypes in the Asian population is natural killer (NK)/T-cell lymphoma (NKTL) with a high association of EBV. We report a case of a 42-year-old female, who presented with a worsening sore throat, odynophagia, dysphagia to solid food due to oropharyngeal ulcers and bilateral nasal blockage and recurrent fever for the past two weeks prior to admission. Physical examination revealed ulcers over the soft palate with nasopharyngeal slough. Computerized Tomography (CT) scan of the neck showed nasopharyngeal abscess with bilateral maxillary ethnoidal sinusitis. The diagnostic and management challenge is discussed.
authors.affiliation: Departments of Pathology, Haematology and Histopatology Units, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
authors.forename: N H
authors.initials: NH
authors.lastname: Hamidah
authors.affiliation: Departments of Pathology, Haematology and Histopatology Units, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
authors.forename: Siti
authors.initials: S
authors.lastname: Shahrom
authors.affiliation: Departments of Pathology, Haematology and Histopatology Units, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
authors.forename: M A
authors.initials: MA
authors.lastname: Siti Aishah
authors.affiliation: Departments of Anatomy, Haematology and Histopatology Units, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
authors.forename: S
authors.initials: S
authors.lastname: Das
authors.affiliation: Departments of Otorhinolaryngology, Haematology and Histopatology Units, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
authors.forename: B S
authors.initials: BS
authors.lastname: Gendeh
authors.affiliation: Departments of Medicine, Haematology and Histopatology Units, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
authors.forename: S A W
authors.initials: SA
authors.lastname: Fadilah
mesh_terms: D000328:Adult; D002177:Candidiasis / Q000188:drug therapy; D005260:Female; D004854:Herpesvirus 4, Human; D006801:Humans; D007694:Killer Cells, Natural / Q000473:pathology; D054391:Lymphoma, Extranodal NK-T-Cell / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy*; D016399:Lymphoma, T-Cell / Q000209:etiology / Q000473:pathology / Q000821:virology; D009303:Nasopharyngeal Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy; D010956:Plasmapheresis; D014057:Tomography, X-Ray Computed