Non-Hodgkin's Lymphoma Presented as a Tongue Base Tumor: A Case Report

舌根部腫瘤的非何杰金氏淋巴瘤：個例報告

林豪杰(Hao-Chieh Lin) ； 張廷安(Ting-An Chang) ； 林坤霖(Kun-Lin Lin)

《The Changhua Journal of Medicine》 8卷3期 (2003/07) Pp. 190-193

摘要

非何杰金氏淋巴瘤有5-10%會以侵犯Wddeyer氏環為最初表現，以扁桃腺最多，鼻咽部次之，舌根部侵犯算是少見，約佔侵犯Wddeyer氏環的7%。本科於2002年4月經歷一名63歲男性患者，主訴為喉部吞嚥異物感，經檢查發現左側舌根部有一堅硬無痛2.5×2.0×1.5公分腫瘤，在全身麻醉下，採直接喉鏡作腫瘤切片，病理證實為非何杰金氏淋巴瘤。病人接受CHOP化學治療後，至今病灶並無復發現象。

關鍵字

淋巴瘤 ； 吞嚥異物感 ； 舌根部腫瘤

並列摘要

Waldeyer's ring is the primary site of non-Hodgkin's lymphoma (NHL) involvement in approximately 5% to 10% of all lymphoma patients. Of all Waldeyer's ring NHLs, the tonsil is the most frequent site, followed by the nasopharynx. Lymphomas arising from base of the tongue are less frequent, accounting for 7% of all primary Waldeyer's ring NHLs. We report a case of NHL involving a tongue base tumor in a 63-year-old man who complained of a foreign body sensation when swallowing. Clinical examination showed a firm, nontender, 2.5×2.0×1.5cm mass on the left tongue base. Direct laryngoscopy and biopsy were performed. Pathological examination showed the presence of diffuse large cell, with B cell lineage. The patient was treated with CHOP regimen, and no evidence of recurrence has been noted during follow-up.

並列關鍵字

lymphoma ； foreign body sensation ； tongue base tumor