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J Craniofac Surg. 2013 Nov;24(6):2198-200. doi: 10.1097/SCS.0b013e3182a2d9f1.

Diffuse large B-cell lymphoma of the nasal cavity presenting as abducens nerve palsy.

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From the *Department of Otorhinolaryngology, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin; and †Department of Otorhinolaryngology, Jeju National University School of Medicine, Jeju, Korea.


An 87-year-old man presented with a 1-week history of transient facial numbness, followed by the onset of left diplopia 1 month later. In the neurological examination, he was found to have left abducens nerve palsy. A brain MRI showed an infiltrative lesion invading the left posterior nasal cavity and pterygopalatine fossa, and extending into the left paracavernous region. The histological diagnosis was diffuse large B-cell lymphoma. We report an unusual case of diffuse large B-cell lymphoma occurring in the sinonasal tract with unilateral abducens nerve palsy presenting as an early feature.

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