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KMID : 0387820150220010076
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Clinical Pediatric Hematology-Oncology
2015 Volume.22 No. 1 p.76 ~ p.79
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A Case of Nasal Type Extranodal NK/T Cell Lymphoma Incidentally Detected in a Child
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Oh Ha-Jin
Park Sang-Hyun
Jang Hae-In
Lee Dong-Hoon
Chol Yoo-Duk
Baek Hee-Jo
Kook Hoon
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Abstract
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A nasal type extranodal NK/T-cell lymphoma (ENKL) is very rare in children. A pediatric nasal type ENKL is generally localized and is likely to have sensitivity to radiotherapy. The most common site is the upper airway tract, such as nasal region, Waldeyer’s ring, paranasal sinuses and palates. It usually presents with nasal symptoms, such as obstruction or epistaxis. We describe our experience of concurrent chemoradiotherapy in a 13-year old boy having incidentally detected nasal type ENKL on laryngoscopic examination who did not have nasal symptoms. He received three cycles of dexamethasone (40 mg/day for 3 days), ifosfamide (1,000 mg/m2/day for 3 days), VP-16 (67 mg/m2/day for 3 days) and carboplatin (200 mg/m2 for 1 day) at 3-week intervals and 45 Gy intensity-modulated radiation therapy. He has been disease-free for 18 months after cessation of therapy.
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KEYWORD
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Extranodal NK/T-cell lymphoma, Nasal type, Laryngoscopic examination
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