A case report of a primary lymphoma of the tongue presenting as trigeminal neuralgia

Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale
Andrew J ArifinS Danielle MacNeil

Abstract

Primary lymphoma of the oral cavity is a rare phenomenon. Herein we describe a unique presentation of lymphoma of the tongue which initially manifested as trigeminal neuralgia. A 63-year-old female experienced a 10-month history of paresthesia and neuropathic pain involving the left tongue and mandibular area of her face. Investigations including imaging and biopsy revealed primary lymphoma of the tongue with extensive perineural spread. The patient underwent standard chemotherapy with complete radiological response, but minimal recovery of the affected neurological functions. This case highlights an unusual presentation of a rare disease leading to a delay in diagnosis and the importance of a complete workup for trigeminal neuropathy.

References

Oct 19, 2000·Oral Oncology·A RichardsN Rooney
Aug 30, 2008·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·G CruccuUNKNOWN European Federation of Neurological Society
Feb 14, 2009·Seminars in Neurology·Marie C GonellaYuen T So
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May 29, 2015·Current Pain and Headache Reports·Steven Graff-RadfordSotirois Tetradis
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Sep 7, 2016·Ecancermedicalscience·Taísa Domingues Bernardes SilvaHéliton S Antunes

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Methods Mentioned

BETA
biopsy

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