Extranodal Lymphomas as an Unusual Presentation in Usual Sites: A Potential Clinicoradiological Mimicker of Infection

Lymphomas encompass a group of malignancies involving the lymphoreticular system, while extranodal non-Hodgkin’s lymphomas affect any organ or tissue excluding lymph nodes and the spleen. Extranodal lymphomas (ENLs) have different characteristics and often have distinct pathogenic mechanisms and cli...

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Main Authors: R. Aruna Geethanjali, Brindha Prabhakaran, S. K. Sridevi, L. Priyadharshini, Vishalli Dinesh, V. Archana
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Current Medical Issues
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Online Access:https://journals.lww.com/10.4103/cmi.cmi_125_24
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author R. Aruna Geethanjali
Brindha Prabhakaran
S. K. Sridevi
L. Priyadharshini
Vishalli Dinesh
V. Archana
author_facet R. Aruna Geethanjali
Brindha Prabhakaran
S. K. Sridevi
L. Priyadharshini
Vishalli Dinesh
V. Archana
author_sort R. Aruna Geethanjali
collection DOAJ
description Lymphomas encompass a group of malignancies involving the lymphoreticular system, while extranodal non-Hodgkin’s lymphomas affect any organ or tissue excluding lymph nodes and the spleen. Extranodal lymphomas (ENLs) have different characteristics and often have distinct pathogenic mechanisms and clinical behavior, which has a significant impact in their diagnosis and treatment. This unique case series highlights the difficulty in diagnosing ENL cases from different sites because they clinicoradiologically mimic inflammatory pathology. Although clinical diagnosis, imaging studies, and histopathological diagnosis help arrive at a final diagnosis, this diagnostic dilemma should be kept in mind and additional workup for biopsy should be considered. Here, we present five cases which had ENLs in the gastrointestinal tract, tonsils, thyroid gland, and testis for which histopathology needs ancillary studies like immunohistochemistry to confirm the tissue diagnosis. It is important to note that any delay in diagnosis will have an impact in the appropriate treatment of the patients in such instances.
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language English
publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
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spelling doaj-art-0fe21b22fced46bcba793949be8809c12025-02-10T14:49:56ZengWolters Kluwer Medknow PublicationsCurrent Medical Issues0973-46512666-40542025-01-01231758210.4103/cmi.cmi_125_24Extranodal Lymphomas as an Unusual Presentation in Usual Sites: A Potential Clinicoradiological Mimicker of InfectionR. Aruna GeethanjaliBrindha PrabhakaranS. K. SrideviL. PriyadharshiniVishalli DineshV. ArchanaLymphomas encompass a group of malignancies involving the lymphoreticular system, while extranodal non-Hodgkin’s lymphomas affect any organ or tissue excluding lymph nodes and the spleen. Extranodal lymphomas (ENLs) have different characteristics and often have distinct pathogenic mechanisms and clinical behavior, which has a significant impact in their diagnosis and treatment. This unique case series highlights the difficulty in diagnosing ENL cases from different sites because they clinicoradiologically mimic inflammatory pathology. Although clinical diagnosis, imaging studies, and histopathological diagnosis help arrive at a final diagnosis, this diagnostic dilemma should be kept in mind and additional workup for biopsy should be considered. Here, we present five cases which had ENLs in the gastrointestinal tract, tonsils, thyroid gland, and testis for which histopathology needs ancillary studies like immunohistochemistry to confirm the tissue diagnosis. It is important to note that any delay in diagnosis will have an impact in the appropriate treatment of the patients in such instances.https://journals.lww.com/10.4103/cmi.cmi_125_24diffuse large b-cell lymphomaimmunohistochemistryinfectioninflammation
spellingShingle R. Aruna Geethanjali
Brindha Prabhakaran
S. K. Sridevi
L. Priyadharshini
Vishalli Dinesh
V. Archana
Extranodal Lymphomas as an Unusual Presentation in Usual Sites: A Potential Clinicoradiological Mimicker of Infection
Current Medical Issues
diffuse large b-cell lymphoma
immunohistochemistry
infection
inflammation
title Extranodal Lymphomas as an Unusual Presentation in Usual Sites: A Potential Clinicoradiological Mimicker of Infection
title_full Extranodal Lymphomas as an Unusual Presentation in Usual Sites: A Potential Clinicoradiological Mimicker of Infection
title_fullStr Extranodal Lymphomas as an Unusual Presentation in Usual Sites: A Potential Clinicoradiological Mimicker of Infection
title_full_unstemmed Extranodal Lymphomas as an Unusual Presentation in Usual Sites: A Potential Clinicoradiological Mimicker of Infection
title_short Extranodal Lymphomas as an Unusual Presentation in Usual Sites: A Potential Clinicoradiological Mimicker of Infection
title_sort extranodal lymphomas as an unusual presentation in usual sites a potential clinicoradiological mimicker of infection
topic diffuse large b-cell lymphoma
immunohistochemistry
infection
inflammation
url https://journals.lww.com/10.4103/cmi.cmi_125_24
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