Primary cutaneous follicle centre lymphoma in the head and neck: don't judge a lump by its presentation

Isolated swellings within the head and neck region are common phenomena, with the majority being readily diagnosed and appropriately managed. While history alone will often assist in arriving at a correct diagnosis, discrepancies and inconsistencies in the clinical picture should act as a prompt for...

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Bibliographic Details
Published in:Oral surgery 2014-05, Vol.7 (2), p.103-108
Main Authors: Yates, J.M., Bolt, R., Nahabedian, V., Fernando, M., Hunter, K.D.
Format: Article
Language:English
Subjects:
diagnosis
facial swelling
Lymphoma
maxillofacial
primary cutaneous follicle centre lymphoma
trauma
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Summary:Isolated swellings within the head and neck region are common phenomena, with the majority being readily diagnosed and appropriately managed. While history alone will often assist in arriving at a correct diagnosis, discrepancies and inconsistencies in the clinical picture should act as a prompt for the clinician to consider the prospect of having encountered less common pathology. We report a case of an unusual supra‐orbital swelling where the history, clinical findings and initial investigations masked a rare diagnosis. The differential diagnoses for this case principally included haematoma, infection and cutaneous cyst. However, following a period of review with no improvement in either symptoms or objective clinical measures, incisional biopsy confirmed a diagnosis of primary cutaneous follicle centre lymphoma. Management thereafter involved referral for lymphoma specialist assessment, with subsequent investigation to establish the level of locoregional and/or systemic involvement and the initiation of appropriate radiotherapy.
ISSN:1752-2471
1752-248X
DOI:10.1111/ors.12059