Post-adenotonsillectomy and diffuse large B-Cell lymphoma

Abstract EN

A one-year-and-10-month-old twin boy presented with a history of breathing difficulty which started two days after adenotonsillectomy.

He clinically improved with nebulizer; however, two days later, his difficulty of breathing worsened and was associated with a runny nose, central cyanosis, snoring, apnea and reduced feeding and activity.

MRI with contrast revealed a large extensive soft tissue mass involving the sinonasal tract.

Histopathological findings of the endoscopic biopsy were conclusive for Non-Hodgkin’s lymphoma; diffuse large B cell lymphoma was confirmed.

Induction chemotherapy was given for two weeks.

PET scan after the chemotherapy revealed that the patient was disease-free at the time of this report.