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Case Reports in Otolaryngology
Volume 2013, Article ID 918132, 4 pages
http://dx.doi.org/10.1155/2013/918132
Case Report

Delayed Diagnosis of Nasal Natural Killer/T-Cell Lymphoma

1Department of Otolaryngology, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA
2Department of Pathology, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA

Received 29 August 2013; Accepted 22 September 2013

Academic Editors: Y. Baba and W. Issing

Copyright © 2013 Jennifer A. Villwock et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Midline destructive lesions of the face have multiple possible etiologies. The majority of these cases are found to be due to an extranodal lymphoma of natural killer/T-cell-type non-Hodgkins lymphoma (NKTL). Unfortunately, diagnosis is often delayed. With variable presenting complaints, including nonspecific issues like chronic rhinosinusitis or nasal congestion, initial treatments are aimed at these presumed diagnoses. Only as the lesion progresses do overt signs of destruction occur. As with our patient, who was initially treated for presumed infection and abscess, final diagnosis often does not occur until several months, and several antibiotic courses, from initial presentation. As such, it is important for this rare entity to remain in the clinician’s differential diagnosis for nasal lesion.