Extranodal T/NK cells lymphoma presenting as persistent facial swelling: case report
DOI:
https://doi.org/10.5327/2525-5711.407Palavras-chave:
Lymphoma, Non-Hodgkin, Extranodal NK-T-CellResumo
Extranodal NK/T-cell lymphoma (ENKTL) is a histopathological subtype of non-Hodgkin’s lymphoma strongly associated with Epstein-Barr virus (EBV) infection. This malignancy is characterized by extensive necrosis, often resulting in severe tissue destruction and midfacial deformities. The present study aims to report a case of ENKTL in which the primary clinical manifestation was persistent, painless facial edema, notably without necrotic features. The patient underwent combined therapy with DeVIC chemotherapy and radiotherapy, demonstrating a favorable tumor response with no evidence of recurrence after a nine-month follow-up period. Accurate and timely diagnosis of ENKTL is critical for optimizing patient outcomes, mitigating tissue destruction, and reducing both morbidity and mortality. Therefore, ENKTL should be considered as a differential diagnosis in cases of unexplained diffuse facial swelling. Additionally, a comprehensive literature review was conducted to examine previously reported cases of ENKTL presenting with facial swelling.
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Copyright (c) 2026 Laryssa Queiroz Cunha, Alexandre Bellotti , Hélen Kaline Farias Bezerra, Lucas Lacerda de Souza, Ivan José Correia-Neto, Pablo Agustin Vargas, Márcio Ajudarte Lopes, Henrique Moura de Paula, Yana De Sousa Rabelo, Eduardo Zancopé

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