title: Bilateral Non-Hodgkin's Lymphoma of the Temporal Bone: A Rare and Unusual Presentation.
abstract: Primary lymphoma of the temporal bone is an unusual finding in clinical practice and bilateral affection is even more rare. To the best of our knowledge, there are no reports of bilateral primary temporal bone lymphoma without middle ear involvement in the English medical literature so far. We report, for the first time, a case of primary lymphoma involving both temporal bones which presented with left-sided infranuclear facial palsy. A combination of contrast enhanced magnetic resonance imaging (MRI) and high resolution computed tomography (HRCT) was used to characterize and to map the extent of the lesion, as well as to identify the exact site of facial nerve affection. An excision biopsy and immunohistochemistry revealed diffuse large B-cell non-Hodgkin's lymphoma (DLBCL). Whole body fluorodeoxyglucose (FDG) positron emission tomography-computed tomography study (PET-CT) was performed to stage the disease. The patient was treated with chemotherapy and radiation therapy and is now on regular follow-up. The patient is alive and asymptomatic without disease progression for the last twenty months after initial diagnosis.
authors.affiliation: Head and Neck Imaging Division, Star Imaging and Research Center, Pune 411001, India.
authors.forename: Sanjay
authors.identifier: 0000-0003-0937-4001
authors.initials: S
authors.lastname: Vaid
authors.affiliation: Head and Neck Imaging Division, Star Imaging and Research Center, Pune 411001, India.
authors.forename: Jyoti
authors.initials: J
authors.lastname: Jadhav
authors.affiliation: Head and Neck Imaging Division, Star Imaging and Research Center, Pune 411001, India.
authors.forename: Aparna
authors.initials: A
authors.lastname: Chandorkar
authors.affiliation: Department of Otorhinolaryngology, KEM Hospital, Pune 411011, India.
authors.forename: Neelam
authors.identifier: 0000-0001-6316-0739
authors.initials: N
authors.lastname: Vaid