A 34-year-old woman was presented with a 3-month history of ulcerated plaques present on the palate and gingiva. Examination There were two ulcerated lesions with irregular margins on the hard palate (panel A), gingival mucosa (panel B). Contrast enhanced-CT of paranasal sinuses, nose, and orbit revealed no evidence, of mass or lymphadenopathy. Nasal endoscopy was normal. Histopathology was negative for cancer but culture was positive for s. aureus .
The patient received IV antibiotics and was doing well until day 10. But again she was presented with fever and intermittent swelling on the left side of her face. The palatal lesion had enlarged (as indicated in Panel C) and hence a second biopsy was performed. Histopathological examination indicated extranodal natural-killer-cell T-cell lyphoma. Is this a non-Hodgkin's lymphoma and how would you manage this patient? *This case is from…
