Non-Hodgkin Lymphoma most often presents as primarily nodal disease. The head and neck is one of the most common affected sites with diffuse involvement of the deep cervical lymph nodes, the posterior cervical triangle and the mediastinal, hilar and axillary nodes.
We report a rare case of a 50 year-old male with HIV and presenting only with odynophagia for at least one month prior to the development of a cervical swelling. Clinical examination revealed a tonsillar enlargement, suspicious of tonsillitis. Neck CT scan revealed bilateral tonsillar enlargement and cervical lymphadenopathy. A staging CT scan revealed diffuse lymphadenopathy and extranodal disease in the lung, spleen and peritoneum. Pharyngeal biopsy and immunohistochemistry revealed a Diffuse Large B-cell Lymphoma, Non-Hodgkin Lymphoma.
We will resume the clinical and imaging relevant findings necessary to exclude the other possible differential diagnosis.
Published on: April 24, 2020
Citation: Torres LB, Torres D, Cardoso A. 2020. Non-Hodgkin Lymphoma Presenting as Tonsillitis. J Med Imaging Case Rep 4(1): 19-21.