Skip to main content

Advertisement

Log in

Primary mantle-cell non-Hodgkin’s lymphoma of the tongue

  • Case Report
  • Published:
International Journal of Hematology Aims and scope Submit manuscript

Abstract

The evaluation of tongue swellings often represents a diagnostic challenge, because of the wide spectrum of benign and malignant possible lesions. We report a case of a patient presenting a tongue mass. An incisional biopsy was performed. Diagnosis of primary Mantle Cell non-Hodgkin’s Lymphoma of the tongue was made by histological, immunohistochemical and cytogenetic studies. Our patient was treated with Rituximab–Cyclophosphamide, Epirubicine, Vincristine, Prednisone polychemotherapy plus Rituximab as single agent maintenance. Complete remission was achieved and no relapse has occurred during a follow-up of 53 months. We emphasize the importance of including also NHL in differential diagnosis of a tongue mass.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Epstein JB, Epstein JD, Le ND, Gorsky M. Characteristics of oral and paraoral malignant lymphoma: a population-based review of 361 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;92:519–25.

    Article  CAS  PubMed  Google Scholar 

  2. Van der Waal RIF, Huijgens PC, van der Valk P, van der Waal I. Characteristics of 40 primary extranodal non-Hodgkin lymphomas of the oral cavity in perspective of the new WHO classification and the International Prognostic Index. Int J Oral Maxillofac Surg. 2005;34:391–5.

    Article  PubMed  Google Scholar 

  3. Haidar Z. A review of non-Hodgkin’s lymphoma of the oral cavity 1950–1980. J Oral Med. 1986;41:197–200.

    CAS  PubMed  Google Scholar 

  4. Shima N, Kobashi Y, Tsutsui K, et al. Extranodal non-Hodgkin’s lymphoma of the head and neck. A clinicopathologic study in the Kyoto-Nara area of Japan. Cancer. 1990;66:1190–7.

    Article  CAS  PubMed  Google Scholar 

  5. Domanski HA, Akerman M. Fine-needle aspiration cytology of tongue swellings: a study of 75 cases. Diagn Cytopathol. 1998;18:387–92.

    Article  CAS  PubMed  Google Scholar 

  6. Touboul E, Ghenim C, Chantelar JV, et al. Non-Hodgkin lymphomas of the head and neck, stages I and II. A propos 35 cases. Rev Stomatol Chir Maxillofac. 1985;86:300–9.

    CAS  PubMed  Google Scholar 

  7. Derk CT, Conway RT, Jimenez SA. Primary B-cell lymphoma of the tongue in a patient with systemic sclerosis. Oral Oncol. 2004;40:103–6.

    Article  PubMed  Google Scholar 

  8. Van der Waal RIF, Pas HH. Paraneoplastic pemphigus as the presenting symptom of a lymphoma of the tongue. Oral Oncol. 1998;34:567–70.

    Article  PubMed  Google Scholar 

  9. Sakabe H, Bamba M, Nomura K, et al. MALT lymphoma at the base of the tongue developing without any background of immunodeficiency or autoimmune disease. Leuk Lymphoma. 2003;44:875–8.

    Article  CAS  PubMed  Google Scholar 

  10. Menarguez J, Mollejo M, Carrion R, et al. Waldeyer’s ring lymphoma. A clinicopathological study of 79 cases. Histopathology. 1994;24:13–22.

    Article  CAS  PubMed  Google Scholar 

  11. Zinzani PL, Magagnoli L, Galieni P, et al. Non gastro-intestinal low-grade mucosa associated lymphoid tissue lymphoma: analysis of 75 patients. J Clin Oncol. 1999;17:1254–8.

    Article  CAS  PubMed  Google Scholar 

  12. Piattelli A, Di Alberti L, Artese L. Non-hodgkin’s lymphoma of the tongue: a case report. Eur J Cancer B Oral Oncol. 1996;32:207–9.

    Article  Google Scholar 

  13. Manolopoulos L, Nikolopoulos TP, Yiotakis J, Karapatsas J, Maris A, Ferekidis E. Burkitt’s lymphoma in the base of the tongue: differential diagnosis and management. ORL J Otorhinolaryngol Relat Spec. 2003;65:226–9.

    Article  CAS  PubMed  Google Scholar 

  14. Yoskovitch A, Hier MP, Begin LR, et al. Dorsal tongue mass. Oral Sur Oral Med Oral Pathol Oral Radiol Endod. 2000;90:5–8.

    Article  CAS  Google Scholar 

  15. Ezzat AA, Ibrahim EM, El Weshi AN, et al. Localized non-Hodgkin’s lymphoma of Waldeyer’s ring: clinical features, management, and prognosis of 130 adult patients. Head Neck. 2001;23:547–58.

    Article  CAS  PubMed  Google Scholar 

  16. The Non-Hodgkin’s Lymphoma Classification Project. A clinical evaluation of the International Lymphoma Study Group classification of non-Hodgkin’s Lymphoma. Blood. 1997;89:3909–18.

    Google Scholar 

  17. Saxman S, Righi P. Mantle cell lymphoma appearing as a tongue base mass. Ear Nose Throat J. 1997;76:35–6.

    CAS  PubMed  Google Scholar 

  18. Thorns C, Bier B, Feller AC. Multilobated mantle cell lymphoma. Leuk Lymphoma. 2006;47:770–2.

    CAS  PubMed  Google Scholar 

  19. Gill S, Ritchie D. Therapeutic options in mantle cell lymphoma. Leuk Lymphoma. 2008;49:398–409.

    Article  CAS  PubMed  Google Scholar 

  20. Rosenbluth BD, Yahalom J. Highly effective local control and palliation of mantle cell lymphoma with involved-field radiation therapy. Int J Radiat Oncol Biol Phys. 2006;65:1185–91.

    Article  PubMed  Google Scholar 

  21. Kahl BS, Longo WL, Eickhoff JC, Zehnder J, Jones C, Blank J. Maintenance rituximab following induction chemoimmunotherapy may prolong progression-free survival in mantle cell lymphoma: a pilot study from the Wisconsin oncology Network. Ann Oncol. 2006;17:1418–23.

    Article  CAS  PubMed  Google Scholar 

  22. Forstpointner R, Unterhalt M, Dreyling M, et al. Maintenance therapy with rituximab leads to a significant prolongation of response duration aftere salvage therapy with a combination of rituximab, fludarabine, cyclophosphamide, and mitoxantrone (R-FCM) in patients with recurring and refractory follicular and mantle cell lymphomas: results of a prospective randomized study of the German Low Grade Lymphoma Study Group (GLSG). Blood. 2006;108:4003–8.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Umberto Falcone.

About this article

Cite this article

Guastafierro, S., Falcone, U., Celentano, M. et al. Primary mantle-cell non-Hodgkin’s lymphoma of the tongue. Int J Hematol 88, 206–208 (2008). https://doi.org/10.1007/s12185-008-0142-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12185-008-0142-z

Keywords

Navigation