J Korean Med Sci.  1992 Dec;7(4):314-324. 10.3346/jkms.1992.7.4.314.

Malignant lymphomas of the nasal cavity and Waldeyer's Ring: clinicopathologic and immunohistochemical study

• Ko YH
• Lee JD
• Kim CM
• Kim IS
• Lee MJ

• KMID: 1421932
• DOI: http://doi.org/10.3346/jkms.1992.7.4.314

Abstract

The clinicopathologic and immunohistochemical finding of 10 cases of nasal non-Hodgkin's lymphoma (NHL) and 23 cases of Waldeyer's ring NHL were studied. Immunohistochemically, nasal NHL expressed T-cell markers exclusively, whereas the NHL of Waldeyer's ring were of both T-cell (56.5%) and B-cell lineages (43.5%). Angioinvasiveness by tumor cells was exclusively noted in the T-lineage lymphomas. Epithelial hyperplasia, epitheliotropism by tumor cells, and extensive invasion of adjacent normal tissue were more prominent in T-cell lymphomas than in B-cell lymphomas. T-lineage lymphomas showed distant extranodal spread pattern involving the skin, soft tissue, stomach, spleen, and the liver, whereas B-lineage lymphomas tended to localize in the lymph nodes. The survival rate of Nasal NHL was similar to that of Waldeyer's ring NHL. Although not statistically significant because of small sample numbers, immunophenotype, histologic groups of monomorphic lymphoma, and stage had prognostic importance. In general, T-lineage lymphomas presented with a higher stage than B-lineage lymphomas (p < 0.05)-and overall survival was poor. Stage I disease showed a much more favorable prognosis than stage II disease. Monomorphic lymphomas had a shorter survival than polymorphic reticulosis (PR) or lymphomas with features of PR. This result in conjunction with the morphologic transition between them suggested that monomorphic lymphoma may represent the most advanced stage in the spectrum of PR, lymphoma with features of PR, and monomorphic lymphoma.

Keyword

Nasal cavity; Waldeyer's ring; Malignant lymphoma; Peripheral T-cell lymphoma

MeSH Terms

Adolescent
Adult
Aged
Female
Humans
Immunophenotyping
Lymphoma, Non-Hodgkin/mortality/*pathology
Male
Middle Aged
Nasal Cavity/*pathology
Neoplasm Invasiveness
Neoplasm Staging
Nose Neoplasms/mortality/*pathology
Retrospective Studies
Survival Rate
Tonsillar Neoplasms/mortality/*pathology