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

Daryush Varedi; Pavandeep Maan; Jacob J Bruckner; Michael Carlson; Justin Wei; Shiv Bhanu; Duy Bui

doi:10.1016/j.radcr.2023.07.065

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

Radiol Case Rep. 2023 Aug 16;18(10):3759-3763. doi: 10.1016/j.radcr.2023.07.065. eCollection 2023 Oct.

Authors

Daryush Varedi¹, Pavandeep Maan¹, Jacob J Bruckner¹, Michael Carlson¹, Justin Wei¹, Shiv Bhanu¹, Duy Bui¹

Affiliation

¹ Department of Radiology, Riverside Community Hospital, Riverside, CA, USA.

Abstract

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: Diffuse large B cell lymphoma; Extranodal; Lymphoma; Perineural; Premaxillary.

Publication types

Case Reports