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DOI: 10.1055/s-0038-1640155
Delayed diagnosis of a destructive natural killer/t-cell Lymphoma of the midface with simultaneously occurring chronic sinusitis with polyps in an 20 year old male african refugee
We present a case of an african refugee, who was presented in our outpatient department with nasal obstruction after massive nasal injury in a refugee accomodation at Lampedusa/Italy. Because oft he breathing disorder dued to loss of cartilaginous infrastructure und nasal polyps a septorhinoplasty and endoscopic sinus surgery was performed. Histologic findings showed a allergic mucinous polypous inflammation. Allery tests revealed sensitizations against tree pollen. In addition a massive increase of total IgE and eosinophilia in the differential leucocyte count was detected. As a causal factor the tropical institute found a infection with Strongyloides stercoralis witch immediately was treated in this facility. The correct diagnosis of a destructive natural killer/t-cell Lymphoma was found after the third operation nearly one year after the first operation. Subsequently a kombined radio-/chemotherapie with a total dose of 40 Gy an 3 cycles of VIPD was carried out. About one year later a recurrence of the lymphoma was treated with a re-chemotherapy after SMILE-protocol. Since then the Patient is in an relapse free status.
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No conflict of interest has been declared by the author(s).
Publikationsverlauf
Publikationsdatum:
18. April 2018 (online)
© 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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