Bilateral Sinonasal Lymphoma in the Absence of a Solitary Lesion: Case Report and Review of the Literature

Laura Garcia-Rodriguez and Robert Deeb^*

Department of Otolaryngology Head and Neck Surgery, Henry Ford Health System, Detroit, MI, USA

*Corresponding Author : Robert Deeb, MD
Henry Ford Hospital, K8 ENT clinic 2799 W. Grand Blvd. Detroit, MI 48202
Tel: 313-916-7086
Fax: 313-916-7263
E-mail: Rdeeb1@hfhs.org

Received: October 13, 2017 Accepted: January 06, 2018 Published: January 13, 2018

Citation: Garcia-Rodriguez L, Deeb R (2018) Bilateral Sinonasal Lymphoma in the Absence of a Solitary Lesion: Case Report and Review of the Literature. J Otol Rhinol 7:1. doi: 10.4172/2324-8785.1000331

Objective: Primary sinus lymphoma is rare, accounting for about 0.2 to 5% of extra nodal lymphomas. Lymphomas are the second most common malignancy in the head and neck after squamous cell carcinoma.

Methods: Case report

Results: We present the case of a 50-year-old African American female with an atypical presentation of sinonasal lymphoma. She had chronic nasal congestion and sinusitis for one-year duration. Computed tomography was significant for scattered mucosal thickening bilaterally in all paranasal sinuses; however, no discrete mass lesion was identified. She underwent functional endoscopic sinus surgery, and pathology was positive for diffuse large B-cell lymphoma. The multidisciplinary tumor conference recommended R-CHOP with intrathecal therapy. She deferred further treatment and was symptom-free without evidence of recurrent disease at 10 months post-surgery.

Conclusion: This case of bilateral sinonasal lymphoma with no mass lesion serves as a reminder to maintain a high index of suspicion for non-typical sinus pathology that may masquerade as chronic sinusitis.