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Title
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Young immunocompetent patient with oropharyngeal plasmablastic lymphoma
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Author
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Abstract
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| Young immunocompetent patient with oropharyngeal plasmablastic lymphoma. Background: Plasmablastic lymphoma (PBL) is a rare tumour that most commonly occurs in the oral cavity in immunocompromised patients. Case report: A 35-year-old man presented with symptoms suggesting obstructive sleep apnoea syndrome (OSAS). Fiberoptic nasopharyngoscopy, contrast-enhanced computed tomography, and drug-induced sleep endoscopy revealed a mass in the oropharynx that completely obstructed the upper airway. Direct laryngoscopy was performed, and the lesion was excised using a CO2 laser. Anatomopathological examination and flow cytometric differentiation established a diagnosis of plasmablastic lymphoma (PBL). Postoperative chemotherapy resulted in complete response. Conclusions: Extra-oral PBL is very rare. This is the first published report of oropharyngeal PBL in an immunocompetent patient. This case emphasizes the importance of considering PBL as a differential diagnosis when an oropharyngeal tumour is present. Clinical ENT examination should include fiberoptic nasopharyngoscopy to detect any head and neck mass that may cause OSAS-related symptoms. |
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Language
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English
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Source (journal)
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B-ENT / Royal Belgian Society for Ear, Nose, Throat, Head and Neck Surgery [Leuven] - Leuven, 2005, currens
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Publication
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Leuven
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Royal Belgian Society for Ear, Nose, Throat, Head and Neck Surgery
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2018
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ISSN
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1781-782X
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Volume/pages
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14
:2
(2018)
, p. 151-155
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ISI
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000438319400012
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