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There is considerable interest in lymphomas of the nasal cavity. Two papers were written on them from China. Others came in alphabetical order from Greece, Iran, Israel, Japan, Malaysia, UK and USA. Therefore, this paper concerns the Nigerian scene with special reference to the Ibo ethnic group. Two cases are deemed to be worthy of documentation.
Keywords: Lymphoma, Nasal cavity, Ibos, Nigeria
INTRODUCTION
CASE REPORTS
1. OJ, a 43 year old woman, consulted one of us (BCE) on account of nasal blockage of 2 years duration. There were occasional nose bleeds. It was noted that tumor extended into the nasal cavity more on the left side. The lesion was biopsied. Irregular masses up to 2.5 cm across were submitted to the co-author (WIBO). On microscopy, both inflammation and necrosis beclouded the appearances but typical round tumor cells of the lymphoid series grew in sheets with mitotic activity. Malignant lymphoma was diagnosed.
2. OF, a 40 year old woman also consulted one of us (BCE) with the complaint of nasal obstruction of 2 years duration. Granular, polypoidal growth was seen in the nasal cavities especially on the right side. Biopsy was carried out, numerous small smelly fragments being sampled. On microscopy, purulent matter was seen with strips showing sheets of poorly differentiated round hyperchromatic tumor cells.
DISCUSSION
Our small series can be likened to the Malaysian 2 year old boy with Burkitt lymphoma [7]. In this context, if the above single lymphoma case of whatever type is suitable for reportage, what of 2 cases? Perhaps, it suffices to add here some aspects of the lymphoma as experienced in this developing community. Indeed, the variety did suitably manifest as the teenager who took drugs for abortion but actually died of lymphoma [12]. Other aspects of lymphoma which are already on record concern the tonsil [13], parotid gland [14], bone [15], palate [16] and breast [17].
The above publications are indicative of the local epidemiology of the lymphoma. From Greece [3], the mean
CONCLUSION
1. Li YX, Coucke PA, Li JY (1998) Primary non-Hodgkin’s lymphoma of the nasal cavity: Prognostic significance of paranasal extension and the role of radiotherapy and chemotherapy. Cancer 83: 449-456.
2. Yao B, Li YX, Song YW (2006) Treatment option and outcome for patients with primary non-Hodgkin’s lymphoma of the nasal cavity. Zhonghua Zhong Liu Za Zhi 28: 58-61.
3. Chalastras T, Elefteriadou A, Giotakis J (2007) Non-Hodgkin’s lymphoma of the nasal cavity and paranasal sinuses: A clinicopathological and immunohistochemical study. Acta Otorhinolaryngol Ital 27: 6-9.
4. Azarpira N, Ashraf MJ, Monabati A (2012) Primary lymphoma of nasal cavity and paranasal sinuses. Lab Med 43: 294-299.
5. Shohat I, Berkowicz M, Dori S (2004) Primary non-Hodgkin’s lymphoma of the sinonasal tract. Oral Surg Oral Med Pathol Oral Radiol Endod 97: 328-331.
6. Hatta C, Ogasawara H, Okita J (2001) Non-Hodgkin’s malignant lymphoma of the sinonasal tract: Treatment outcome for 53 patients according to REAL classification. Auris Nasus Larynx 28: 55-60.
7. Atikah HN, Hashimah I, Rosli MN (2017) Burkitt’s lymphoma of nasal cavity and bilateral maxillary sinuses. Egypt J Ear Nose Throat Allied Sci 18: 203-205.
8. Quraishi MS, Bessell EM, Clark D (2000) Non-Hodgkin’s lymphoma of the sinonasal tract. Laryngoscope 110: 1489-1492.
9. Gary P, Ivone CG, Judith F (2003) Lymphoma of the nasal cavity and paranasal sinuses: Treatment and outcome of early-stage disease. Am J Clin Oncol 26: 6-11.
10. Basden GT (1966) Niger Ibos. Cass, London.
11. Macartney JC, Rollaston TP, Codling BW (1980) Use of a histopathology data pool for epidemiological analysis. J Clin Pathol 33: 351-353.
12. Onuigbo WIB (2018) Forensic presentations of malignant lymphoma in Nigeria. Forensic Sci Add Res 2.
13. Onuigbo WIB (2018) Lymphoma of the tonsil in a developing community. Clin Res Hematol 1: 1-2.
14. Onuigbo WIB (2018) Lymphoma of the parotid gland among a Nigerian ethnic group. MOJ Lymphol Phlebol 2: 45-46.
15. Onuigbo WIB (2018) Bone lymphoma in a developing community. EC Orthopaedics 9: 494-496.
16. Onuigbo WIB (2018) The palate: Malignant lymphoma. Glob J Otolaryngol 15: GJO.MS.ID.555906.
17. Onuigbo WIB (2018) Lymphoma of breast in a developing community. Cancer Ther Oncol Int J 8: CTOIJ.MS.ID.555746.
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