Radiology Case Reports (Oct 2023)

Enlarging premaxillary mass: A unique manifestation of extranodal diffuse B-cell lymphoma

  • Daryush Varedi, MD,
  • Pavandeep Maan, MD,
  • Jacob J Bruckner, MD,
  • Michael Carlson, DO,
  • Justin Wei, MD,
  • Shiv Bhanu, MD,
  • Duy Bui, MD

Journal volume & issue
Vol. 18, no. 10
pp. 3759 – 3763

Abstract

Read online

Lymphomas are the most common nonepithelial malignancy in the head and neck region. Among these, non-Hodgkin Lymphoma (NHL) is the most prevalent, and diffuse large B-cell lymphoma (DLBCL) is the most common histologic subtype. NHL is known for its propensity for extranodal involvement, which can affect any anatomical location. The presence of perineural spread is frequently encountered in head and neck malignancies, including lymphomas. We report a case of a 40-year-old male with an enlarging infraorbital facial mass with associated erythema, pain, and paresthesia, which was subsequently found to be extranodal DLBCL with retrograde perineural spread along the infraorbital nerve.

Keywords