Jiang R, Zhang HM, Wang LY, Pian LP, Cui XW. Ultrasound features of primary non-Hodgkin’s lymphoma of the palatine tonsil: A case report. World J Clin Cases 2021; 9(28): 8470-8475 [PMID: 34754855 DOI: 10.12998/wjcc.v9.i28.8470]
Corresponding Author of This Article
Lin-Ping Pian, MM, Chief Doctor, Department of Ultrasound, The First Affiliated Hospital of Henan University of Chinese Medicine, No. 19 Renmin Avenue, Jinshui District, Zhengzhou 450000, Henan Province, China. plp932@163.com
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 6, 2021; 9(28): 8470-8475 Published online Oct 6, 2021. doi: 10.12998/wjcc.v9.i28.8470
Ultrasound features of primary non-Hodgkin’s lymphoma of the palatine tonsil: A case report
Ru Jiang, Hong-Mei Zhang, Lin-Ying Wang, Lin-Ping Pian, Xin-Wu Cui
Ru Jiang, Hong-Mei Zhang, The Third Clinical Medical College of Henan University of Chinese Medicine, Henan University of Chinese Medicine, Zhengzhou 450000, Henan Province, China
Lin-Ying Wang, Lin-Ping Pian, Department of Ultrasound, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450000, Henan Province, China
Xin-Wu Cui, Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China
Author contributions: Jiang R drafted the manuscript; Zhang HM was responsible for data analysis and manuscript preparation; Wang LY and Cui XW revised the manuscript; Pian LP supervised the work; all authors issued final approval for the version to be submitted.
Informed consent statement: The patient provided informed written consent for the publication of this case report.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Lin-Ping Pian, MM, Chief Doctor, Department of Ultrasound, The First Affiliated Hospital of Henan University of Chinese Medicine, No. 19 Renmin Avenue, Jinshui District, Zhengzhou 450000, Henan Province, China. plp932@163.com
Received: May 26, 2021 Peer-review started: May 26, 2021 First decision: June 15, 2021 Revised: June 26, 2021 Accepted: July 22, 2021 Article in press: July 22, 2021 Published online: October 6, 2021 Processing time: 124 Days and 20 Hours
Abstract
BACKGROUND
Lymphomas are the second most common malignancy of the head and neck. In this region, the vast majority of extranodal lymphomas are located in the palatine tonsil, accounting for about 51%. Tonsillar lymphomas are aggressive tumors with intermediate- or high-grade histology. We here report a case of primary non-Hodgkin’s lymphoma of the palatine tonsil and analyze its ultrasound features.
CASE SUMMARY
A 40-year-old man presented with right palatine tonsil swelling for 2 mo after a cold, accompanied by dysphagia, snoring, and suffocation. He had no sore throat, fever, or history of upper respiratory tract infection or tuberculosis. The patient was generally in good health and denied other diseases. He was diagnosed with acute tonsillitis initially and treated with antibiotics for 7 d. However, there was no improvement with the treatment. Tonsil biopsy and ultrasound-guided biopsy of the biggest lymph node of the right neck showed the typical pathology of non-Hodgkin lymphoma.
CONCLUSION
Primary lymphoma of the tonsils is rare, and its diagnosis is challenging. Ultrasound is a useful modality in diagnosing oropharyngeal diseases, and can clearly show the features of this tumor, but the final diagnosis should be established by histology.
Core Tip: Primary lymphoma involving the tonsils is a rare malignancy. We report a 40-year-old man presenting with right palatine tonsil swelling for 2 mo confirmed as a tonsillar lymphoma. Ultrasound can clearly show the features of primary non-Hodgkin’s lymphoma of the tonsils and could be a useful imaging modality in diagnosing oropharyngeal diseases.
