Chuyun Xing1, Shizhou Cheng2, Qing Xu1, Yanhua Xu1, Qin Qin1
1Jingzhou Hospital Affiliated to Yangtze University, Jingzhou, Hubei, 434020, China
2The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei, 434000, China
Extranodal NK/T cell lymphoma nasal type (ENKTL) is a rare malignancy. Due to its non-specific early symptoms and highly aggressive nature, the diagnosis and treatment of ENKTL remains clinically challenging. Combination of chemotherapy and radiotherapy is the standard treatment for stage Ⅰ/Ⅱ ENKTL. Herein, we report a case of primary ENKTL first presented in left-side nasal cavity and then in right-side larynx. More than four years after the initial diagnosis of nasal ENKTL, his left nose was ulcerated due to swelling and it was highly suspected that the lesion was local recurrence. Following up for 22 months after the diagnosis of laryngeal ENKTL, there was no sign of local recurrence of laryngeal lesions after six cycles of GDP program and three-dimensional radiotherapy. The final diagnosis was primary laryngeal ENKTL, and local recurrence of nasal cavity was highly suspected. From the initial diagnosis, after the application of CHOPE, DDGP/DGP sequential chemotherapy and simultaneous radiotherapy, nasal and laryngeal tumors were successfully controlled. We also review the relevant literature to discuss the treatment of NKT, hoping to provide some clinical enlightenment.
extranodal NK/T cell lymphoma nasal type (ENKTL), nasal cavity, larynx
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