Subglottic non hodgkin’s lymphoma as a rare mode of presentation : a case report

الملخص EN

Non-Hodgkin’s lymphoma is a rare condition to involve the subglottic area in those patients affected by the disease.

The classical presentation of patient with lymphoma is lymph node enlargement, especially in head and neck region.

A young male presented with breathing difficulty over many weeks, that was treated conservatively with medications and developed stridor after upper respiratory tract infection.

There was no other systemic features of lymphoma.

Laryngeal examination revealed subglottic mass occluding the airways.

CT scan showed a large subglottic mass occupying most of the subglottis and part of upper trachea.

Tracheostomy was done to secure the airway and direct laryngoscopy with biopsy confirmed the diagnosis of B-Cell non-Hodgkins lymphoma.

Patients received chemo-radiotherapy and the mass disappeared on follow up examination with successful closure of tracheostomy.

NHL should be considered in the differential diagnosis of the patient presented with upper airway obstruction or stridor.

The condition should be managed by securing the airway using the proper procedure.

After the diagnosis has been confirmed, definitive treatment should be followed according to the stage of the disease.