Non-Hodgkin lymphoma presenting as unilateral tonsillar hypertrophy: case report

Oropharyngeal lymphomas are uncommon but most frequently arise in the Waldeyer’s ring, which is the second most common site for extranodal lymphomas after the gastrointestinal tract. Non-Hodgkin’s lymphoma of the Waldeyer’s ring is a relatively rare entity and the palatine tonsil is the most frequently involved site. A 72-year-old woman presented with sore throat who had not responded to routine treatment. On physical examination, a smooth non-tender mass was observed in the left palatine tonsil. Routine laboratory tests were normal. Computed tomography scan was revealed Tonsillar hyperthrophy and CT images in other areas were not a problem. Tonsillectomy was done with a tentative diagnosis of lymphoma. Histological examination confirmed a diagnosis of non-Hodgkin’s lymphoma diffuse large cell type of B phenotype. A combined treatment consisting of chemotherapy and radiotherapy leads to a satisfactory outcome in patients with this uncommon neoplasm, which tends to present at an early stage and to have a favorable prognosis.

Keywords:

Non-Hodgkin´s lymphoma , Tonsil Treatment , Prognosis.