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Mantle Cell Lymphoma Masquerading as obstructive sleep apnoea


Citation

Ishak, Noor Liza and Teng, Tan Sui and Mahat, Mahfida (2022) Mantle Cell Lymphoma Masquerading as obstructive sleep apnoea. Malaysian Journal of Medicine and Health Sciences, 19 (3). pp. 390-392. ISSN 1675-8544; ESSN: 2636-9346

Abstract

Tonsillar malignancy typically presents with asymmetrical tonsillar enlargement, lesion on the tonsils, sore throat or a neck mass. We report a case of unsuspected tonsillar malignancy in a 56-year-old gentleman who presented with symptoms of obstructive sleep apnoea. His tonsils were grade III bilaterally with normal mucosa. Tonsillectomy was performed to improve patient’s compliance with Continuous Positive Airway Pressure (CPAP) therapy. These tonsillar specimens were reported to be Mantle Cell Lymphoma (MCL) based on the histology and ancillary studies. This case highlights that benign-looking symmetrical tonsillar enlargement can harbour occult malignancy. It is important to note that OSA symptoms may be the presentation for haematological malignancies. Tonsillar specimens should be sent for histopathological examination regardless of the indication to avoid misdiagnosis and delay in treatment.


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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.47836/mjmhs.19.3.51
Publisher: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
Keywords: Obstructive sleep apnoea; Occult malignancy; Tonsils; Mantle cell lymphoma
Depositing User: Ms. Che Wa Zakaria
Date Deposited: 22 Aug 2023 03:36
Last Modified: 22 Aug 2023 03:36
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.47836/mjmhs.19.3.51
URI: http://psasir.upm.edu.my/id/eprint/102133
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