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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
Published on: August 15, 2025
312
Tumorous formation of the forehead
Ivanka Temelkova1, Georgi Tchernev2
1Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, General Skobelev 26, 1606, Sofia, Bulgaria. vanq2991@gmail.com.
Wiener Medizinische Wochenschrift (1946)
|January 30, 2020
Summary
A rare case of T-cell non-Hodgkin
Area of Science:
- Oncology
- Hematology
- Dermatology
Background:
- T-cell non-Hodgkin's lymphoma (NHL) is a rare subtype of lymphoma.
- Cutaneous manifestations can be the initial presentation of NHL.
- Accurate diagnosis is crucial for effective treatment.
Observation:
- A 16-year-old girl presented with nodular, erosive forehead tumors and lymphadenopathy.
- Initial treatments for presumed infections were ineffective, and the condition progressed.
- Histopathological and immunohistochemical analysis confirmed peripheral T-cell non-Hodgkin's lymphoma (CD3+, CD4+, CD8-, CD20-, CD30-, CD43-, ALK1-).
Findings:
- The patient was diagnosed with stage 4E T-cell lymphoma involving lymph nodes above and below the diaphragm.
- Immunohistochemistry was crucial in differentiating from other conditions and confirming the T-cell origin.
- CHOEP chemotherapy was initiated, resulting in a positive clinical response after the first cycle.
Implications:
- This case underscores the importance of considering rare diagnoses like T-cell lymphoma in adolescents with persistent or progressing skin lesions.
- Accurate immunohistochemical profiling is vital for correct diagnosis and treatment planning in cutaneous lymphomas.
- Early initiation of appropriate chemotherapy, such as CHOEP, can lead to favorable outcomes even in advanced-stage disease.
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