Primary cutaneous follicle centre lymphoma in the head and neck: don't judge a lump by its presentation. (26th July 2013)

• Record Type: Journal Article
• Authors: Yates, J.M.; Bolt, R.; Nahabedian, V.; Fernando, M.; Hunter, K.D.
• Is Part Of: Oral surgery. Volume 7:Number 2(2014:May)
• Page Start: 103
• Page End: 108
• Publication Date: 2013-07-26
• Subjects: Mouth -- Surgery -- Periodicals; 617.522059
• DOI: 10.1111/ors.12059
• Languages: English
• ISSNs: 1752-2471

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <p>Isolated swellings within the head and neck region are common phenomena, with the majority being readily diagnosed and appropriately managed. While history alone will often assist in arriving at a correct diagnosis, discrepancies and inconsistencies in the clinical picture should act as a prompt for the clinician to consider the prospect of having encountered less common pathology. We report a case of an unusual supra‐orbital swelling where the history, clinical findings and initial investigations masked a rare diagnosis. The differential diagnoses for this case principally included haematoma, infection and cutaneous cyst. However, following a period of review with no improvement in either symptoms or objective clinical measures, incisional biopsy confirmed a diagnosis of primary cutaneous follicle centre lymphoma. Management thereafter involved referral for lymphoma specialist assessment, with subsequent investigation to establish the level of locoregional and/or systemic involvement and the initiation of appropriate radiotherapy.</p> </abstract>