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KMID : 0390220170280020267
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2017 Volume.28 No. 2 p.267 ~ p.272
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A Case of Nasopharyngeal Hodgkin Lymphoma Misdiagnosed as Adenoid Vegetation in a 10-Year-Old Boy
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Lim Eun-Jung
Jung Young-Kwon
Sohn Kyung-Rak
Kim Tae-Hoon
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Abstract
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Adenoidectomy is performed frequently for snoring, nasal obstruction, and sleep apnea by the otolaryngology department. Most of the patients are young children making it difficult to perform a physical examination of the nasopharynx. In most cases, the histopathological results of a tissue biopsy of the tonsil and adenoid are consistent with reactive lymphoid hyperplasia ; thus, clinicians do not usually suspect other diseases for an enlarged tonsil and adenoid. However, rare diseases such as tuberculosis, toxoplasmosis, and lymphoma can affect the nasopharynx in children. Among these, Hodgkin lymphoma is rarely located in the extranodal areas of the head and neck region and much less frequently affects the nasopharynx. Here, we report on a 10-year-old boy presenting with bilateral nasal obstruction, initially diagnosed as chronic adenoid hypertrophy, which was ultimately diagnosed as a Hodgkin lymphoma.
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KEYWORD
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Adenoids, Hodgkin disease, Lymphoma, Nasopharynx
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