Mantle Cell Lymphona Masquerading as Obstructive Sleep Apnoea
https://doi.org/10.47836/mjmhs.19.3.51
- Author:
Noor Liza Ishak
1
;
Tan Sui Teng
2
;
Mahfida Mahat
3
Author Information
1. Otorhinolaryngology Department, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
2. Department of Otorhinolaryngology, Serdang Hospital, Jalan Puchong, 43000 Kajang, Selangor, Malaysia
3. Department of Pathology, Serdang Hospital, Jalan Puchong, 43000 Kajang, Selangor, Malaysia
- Publication Type:Case Reports
- Keywords:
Obstructive sleep apnoea, Occult malignancy, Tonsils, Mantle cell lymphoma
- From:Malaysian Journal of Medicine and Health Sciences
2023;19(No.3):390-392
- CountryMalaysia
- Language:English
-
Abstract:
Tonsillar malignancy typically presents with asymmetrical tonsillar enlargement, lesion on the tonsils, sore throat or
a neck mass. We report a case of unsuspected tonsillar malignancy in a 56-year-old gentleman who presented with
symptoms of obstructive sleep apnoea. His tonsils were grade III bilaterally with normal mucosa. Tonsillectomy was
performed to improve patient’s compliance with Continuous Positive Airway Pressure (CPAP) therapy. These tonsillar specimens were reported to be Mantle Cell Lymphoma (MCL) based on the histology and ancillary studies. This
case highlights that benign-looking symmetrical tonsillar enlargement can harbour occult malignancy. It is important
to note that OSA symptoms may be the presentation for haematological malignancies. Tonsillar specimens should
be sent for histopathological examination regardless of the indication to avoid misdiagnosis and delay in treatment.
- Full text:11.2023my1551.pdf
