Korean J Otorhinolaryngol-Head Neck Surg.  2023 May;66(5):340-344. 10.3342/kjorl-hns.2023.00297.

A Case of Peripheral T-Cell Lymphoma Mixed With Invasive Fungal Sinusitis of Maxillary Sinus

• Kim YW

• KMID: 2542409
• DOI: http://doi.org/10.3342/kjorl-hns.2023.00297

Abstract

A Non-Hodgkin’s lymphoma rapidly forms a deep ulcer and invades the sinuses, orbital wall, and the palate. It is important to detect and treat early as it can, although rarely, be accompanied by rapid ulcerative destruction and sepsis due to necrosis. An 80-year-old female visited our hospital complaining of right nasal congestion and facial edema. A fungal ball in the right maxillary sinus and a defect in the anterior wall of the maxilla were observed by paranasal sinus computed tomography, and sinus endoscopic surgery and Caldwell Luc operation were performed. The intraoperative biopsy showed findings suitable for invasive fungal sinusitis. Based on this, a secondary medial maxillectomy was performed; however, peripheral T-cell lymphoma mixed with invasive fungal sinusitis was reported on the permanent biopsy. We report a case of peripheral T-cell lymphoma mixed with invasive fungal sinusitis of maxillary sinus.

Keyword

Fungi; Lymphoma; Maxillary sinus; Surgery; T-cell