Primary sphenoid lymphoma: Focus on imaging. Issue 6 (December 2018)

• Record Type: Journal Article
• Authors: Facchinelli, Davide; Boninsegna, Enrico; Barillari, Marco; Mansueto, Giancarlo; Krampera, Mauro; Veneri, Dino
• Is Part Of: Tumori. Volume 104:Issue 6(2018)
• Page Start: NP42
• Page End: NP45
• Publication Date: 2018-12
• Subjects: Lymphoma -- sphenoid -- imaging -- differential diagnosis -- otorhinolaryngology; Cancer -- Periodicals; 616.994
• DOI: 10.1177/0300891618803501
• Languages: English
• ISSNs: 0300-8916

Abstract

Primary lymphoma of the sphenoid is an extremely rare pathology, therefore it is difficult to hypothesize and the imaging characteristics are not well-known. Here we report the imaging features in computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) scan of a 44-year-old patient who presented with severe headache. CT and MRI showed a sphenoid sinus mass that suggested rhinopharyngeal lesion or a chordoma. However, biopsy from the mass histologically proved it to be Diffuse large B-cell lymphoma and PET examinations revealed increased fluorodeoxyglucose uptake around the sphenoid bone and multiple spinal lesions.