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A case of diffuse large B-cell lymphoma of nasopharynx, presenting physical findings of attic cholesteatoma and acute inflammatory facial palsy
J Korean Skull Base Soc 2021;16(2):88-94
Published online September 30, 2021
© 2021 Korean Skull Base Society.

Min-Chae Jeon1, So-hee Park1, Dong-Hee Lee1,2

1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
2Department of Otorhinolaryngology, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea
Correspondence to: Dong-Hee Lee
주소 : Department of Otorhinolaryngology, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 271 Cheonbo-ro, Uijeongbu 11765, Korea
Tel : +82-31-820-3564
Fax : +82-31-847-0038
E-mail : leedh0814@catholic.ac.kr
Received August 20, 2021; Accepted September 10, 2021.
Abstract
Malignant lymphoma is tumor of the immune system. It is mainly found in the lymph node but it can also originate from extranodal organs such as gastrointestinal tract, sinonasal tract, and etc. Because primary involvement of diffuse large B-cell lymphoma (DLBCL) of the middle ear is rare, otitis media and facial palsy are rare clinical presentation of DLBCL. We report a case of DLBCL in 65-year-old man, who developed otalgia, tinnitus and facial palsy. Computed tomography revealed a mass in the right mastoid, petrous apex and clivus. Nasopharyngeal deep biopsy and histopathological examination revealed DLBCL. This case highlights the importance of considering malignant lymphoma as one of the differential diagnosis in persistent otitis media and facial palsy.
Keywords : Diffuse large B-cell lymphoma, Mastoid, Petrous bone, Facial paralysis, Nasopharynx


September 2021, 16 (2)
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