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Nasal NK/T cell lymphoma presenting as a lethal midline granuloma

Introduction

Lethal midline granuloma also known as 'Stewart's granuloma' or 'polymorphic reticulosis' refers to the presence and sequelae of a destructive lesion in the upper respiratory tract. According to literature, the majority of lethal midline granulomas are nasal NK/T cell lymphomas. [1] Nasal NK/T cell lymphomas are aggressive, locally destructive, midfacial, necrotizing lesions. Most of them were initially diagnosed as lethal midline granuloma, a term that is slowly being phased out. The nonspecific clinical symptoms constitute a major stumbling block in the early diagnosis and management of these lymphomas. Thus, we need to be aware of the uncommon presentations of this lymphoma. ...

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