A case report of a primary lymphoma of the tongue presenting as trigeminal neuralgia

Abstract Background Primary lymphoma of the oral cavity is a rare phenomenon. Herein we describe a unique presentation of lymphoma of the tongue which initially manifested as trigeminal neuralgia. Case presentation A 63-year-old female experienced a 10-month history of paresthesia and neuropathic pa...

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Main Authors: Andrew J. Arifin, Selay Lam, S. Danielle MacNeil
Format: Article
Language:English
Published: SAGE Publishing 2019-08-01
Series:Journal of Otolaryngology - Head and Neck Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40463-019-0360-9
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author Andrew J. Arifin
Selay Lam
S. Danielle MacNeil
author_facet Andrew J. Arifin
Selay Lam
S. Danielle MacNeil
author_sort Andrew J. Arifin
collection DOAJ
description Abstract Background Primary lymphoma of the oral cavity is a rare phenomenon. Herein we describe a unique presentation of lymphoma of the tongue which initially manifested as trigeminal neuralgia. Case presentation A 63-year-old female experienced a 10-month history of paresthesia and neuropathic pain involving the left tongue and mandibular area of her face. Investigations including imaging and biopsy revealed primary lymphoma of the tongue with extensive perineural spread. The patient underwent standard chemotherapy with complete radiological response, but minimal recovery of the affected neurological functions. Conclusion This case highlights an unusual presentation of a rare disease leading to a delay in diagnosis and the importance of a complete workup for trigeminal neuropathy.
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series Journal of Otolaryngology - Head and Neck Surgery
spelling doaj-art-9d66714520604c68a969c9a4d4ba3ee92025-02-03T10:55:00ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162019-08-014811310.1186/s40463-019-0360-9A case report of a primary lymphoma of the tongue presenting as trigeminal neuralgiaAndrew J. Arifin0Selay Lam1S. Danielle MacNeil2Division of Radiation Oncology, Department of Oncology, London Regional Cancer ProgramDivision of Hematology, Department of Medicine, London Regional Cancer ProgramDepartment of Otolaryngology-Head & Neck Surgery, London Health Sciences CentreAbstract Background Primary lymphoma of the oral cavity is a rare phenomenon. Herein we describe a unique presentation of lymphoma of the tongue which initially manifested as trigeminal neuralgia. Case presentation A 63-year-old female experienced a 10-month history of paresthesia and neuropathic pain involving the left tongue and mandibular area of her face. Investigations including imaging and biopsy revealed primary lymphoma of the tongue with extensive perineural spread. The patient underwent standard chemotherapy with complete radiological response, but minimal recovery of the affected neurological functions. Conclusion This case highlights an unusual presentation of a rare disease leading to a delay in diagnosis and the importance of a complete workup for trigeminal neuropathy.http://link.springer.com/article/10.1186/s40463-019-0360-9LymphomaOral cavityHead and neckTrigeminal nervePerineural spread
spellingShingle Andrew J. Arifin
Selay Lam
S. Danielle MacNeil
A case report of a primary lymphoma of the tongue presenting as trigeminal neuralgia
Journal of Otolaryngology - Head and Neck Surgery
Lymphoma
Oral cavity
Head and neck
Trigeminal nerve
Perineural spread
title A case report of a primary lymphoma of the tongue presenting as trigeminal neuralgia
title_full A case report of a primary lymphoma of the tongue presenting as trigeminal neuralgia
title_fullStr A case report of a primary lymphoma of the tongue presenting as trigeminal neuralgia
title_full_unstemmed A case report of a primary lymphoma of the tongue presenting as trigeminal neuralgia
title_short A case report of a primary lymphoma of the tongue presenting as trigeminal neuralgia
title_sort case report of a primary lymphoma of the tongue presenting as trigeminal neuralgia
topic Lymphoma
Oral cavity
Head and neck
Trigeminal nerve
Perineural spread
url http://link.springer.com/article/10.1186/s40463-019-0360-9
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