Indian Journal of Dermatology
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CASE REPORT
Year : 2020  |  Volume : 65  |  Issue : 2  |  Page : 145-147

Lymphoma on the nasal dorsum: Report of a rare case


1 Department of Emergency, The First Hospital of Jilin University, Changchun, Jilin Province, China
2 Department of Otolaryngology-Head and Neck Surgery, The First Hospital of Jilin University, Changchun, Jilin Province, China

Correspondence Address:
Jianmei Yin
Department of Otolaryngology-Head and Neck Surgery, The First Hospital of Jilin University, No. 3302, Jilin Road, Erdao District, Changchun City, Jilin Province - 130000
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijd.IJD_559_18

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Lymphoma over the nasal dorsum has never been reported. Herein, we report the case of a 74-year-old man who presented with a rapid swelling on the nasal dorsum. A physical examination revealed a firm, immobile, non-tender mass. Computed tomography revealed a space-occupying lesion in the subdermal layer of the nasal dorsum that was most likely a fibroma. An excisional biopsy was performed. Surprisingly, histopathological and immunohistochemical analyses identified a diffuse large B-cell lymphoma. The patient underwent seven cycles of chemotherapy comprising of rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone. He responded well to the regimen. No evidence of persistent or recurrent disease had been detected during the 9 months after his last chemotherapy session. Although never reported previously, lymphoma can mimic common midline nasal soft-tissue tumors and should be considered in the differential diagnosis.


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