2010, Number 1
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Rev Med Inst Mex Seguro Soc 2010; 48 (1)
Bilateral tonsillar hypertrophy as the first manifestation of B cell- small lymphocytic lymphoma with interfolicullar pattern
Soria-Céspedes D, Baquera-Heredia J, Pardo A, Ortiz-Hidalgo C
Language: Spanish
References: 10
Page: 75-78
PDF size: 161.11 Kb.
ABSTRACT
B-cell small lymphocytic lymphoma typically involves
nodal or extranodal tissues as a diffuse proliferation
with proliferation centers (pseudofollicules) obliterating
normal architecture. But there are unusual
patterns of involvement including interfollicular pattern
that can be difficult to recognize histologically
and probably represent partial or early involvement
by neoplasm. Tonsillar lymphoma usually presents
either as a unilaterally enlarged palatine tonsil or as
an ulcerative and fungating lesion over the tonsillar
area. Most lymphomas that involve the tonsil are
diffuse large
B cell lymphomas and primary lowgrade
lymphomas are exceptional. We present a
primary B-cell small lymphocytic lymphoma affecting
palatine tonsils with interfollicular pattern in a 54
year-old man that clinically presented with symmetric
/ bilateral tonsillar enlargement and sleep apnea.
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