Sinonasal Extranodal NK/T-cell Lymphoma Presenting with Torrential Epistaxis

  • Siti Nor Ashiah Johari Dr
  • Sakinah Mohamad
  • Chandran Nadarajan
  • Abu Dzarr Abdullah
  • Norhafiza Mat Lazim
  • Irfan Mohamad

Abstract

Extranodal sinonasal natural killer/T-cell lymphoma is known for its locally destructive nature at the midface region. The initial presentations are related to the localized granulomatous-like lesion usually in the nasal cavity that may lead to symptoms of nasal obstruction, discharge, hyposmia and epistaxis. Advanced disease may present with a rapid dissemination of disease to the liver, spleen, skin, lymph nodes, and bone marrow hence poorer prognosis. We report a case of a young lady with rapid progression of extranodal sinonasal NK/T cell lymphoma with torrential tumour bleeding from the oral and nasal cavities compromising the upper airway patency, which warranted an emergency tracheostomy and arterial embolization.

Author Biographies

Sakinah Mohamad
  1. MMED Otorhinolaryngology and Head and Neck Surgery
  2. Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150, Kota Bharu, Kelantan, Malaysia
Chandran Nadarajan
  1. MMED (Radiology)
  2. Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150, Kota Bharu, Kelantan, Malaysia
Abu Dzarr Abdullah

MMED, Department of Medicine, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150, Kota Bharu, Kelantan, Malaysia

Norhafiza Mat Lazim

MMED, Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150, Kota Bharu, Kelantan, Malaysia

Irfan Mohamad

MMED, Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150, Kota Bharu, Kelantan, Malaysia

Published
2021-08-25
How to Cite
JOHARI, Siti Nor Ashiah et al. Sinonasal Extranodal NK/T-cell Lymphoma Presenting with Torrential Epistaxis. Journal of Clinical and Health Sciences, [S.l.], v. 6, n. 2, p. 65-70, aug. 2021. ISSN 0127-984X. Available at: <https://myjms.mohe.gov.my/index.php/JCHS/article/view/11313>. Date accessed: 26 sep. 2021. doi: https://doi.org/10.24191/jchs.v6i2.11313.

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