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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Format: | Article |
Language: | English |
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SAGE Publishing
2019-08-01
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Series: | Journal of Otolaryngology - Head and Neck Surgery |
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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. |
format | Article |
id | doaj-art-9d66714520604c68a969c9a4d4ba3ee9 |
institution | Kabale University |
issn | 1916-0216 |
language | English |
publishDate | 2019-08-01 |
publisher | SAGE Publishing |
record_format | Article |
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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