A case of immunoblastic lymphadenopathy (IBL)-like T-cell lymphoma with unusual clinical manifestations.

K Kurihara, H Kono, J Nishihara, Y Chikamori
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Abstract

A 67-year-old male consulted an otolaryngologist with a complaint of dysphagia due to a large polypoid mass in the hypopharynx. A biopsy of the mass revealed immunoblastic lymphadenopathy (IBL)-like T-cell lymphoma of helper/inducer subset occurring in lymphoid tissues of the hypopharynx. Although general lymphadenopathy was not seen, further biopsy of an inguinal lymph node showed small foci of lymphoma cells, suggesting the generalized distribution of this malignancy. To our knowledge, this is the first report of this malignancy mimicking primary pharyngeal sarcoma.

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临床表现异常的免疫母细胞淋巴结病样t细胞淋巴瘤1例。
一位67岁男性求诊耳鼻喉科医生,主诉下咽有一大块息肉样肿块导致吞咽困难。肿块的活检显示免疫母细胞淋巴结病(IBL)样t细胞淋巴瘤发生于下咽淋巴组织的辅助/诱导剂亚群。虽然未见全身性淋巴结病变,但进一步的腹股沟淋巴结活检显示小的淋巴瘤细胞灶,提示该恶性肿瘤的广泛性分布。据我们所知,这是第一次报道这种恶性肿瘤模仿原发性咽肉瘤。
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