Extranodal NK/T-cell lymphoma (ENKTCL) nasal type is an increasingly recognised entity that is aggressive clinically and has a distinct clinico-pathological features that is associated with the Epstein-Barr virus. It was previously known as lethal midline granuloma which typically cause destruction of the mid face palatal and orbital walls. It can also involve the skin, soft tissue, testes, gastrointestinal and upper respiratory tract. ENKTCL expresses some T-cell associated antigens, most commonly CD2 and CD3e. We report a case of ENKTCL in a 28-year-old Indonesian pregnant female, who was referred for further management the destructive condition.

Sinonasal tract malignancies are usually slow growing tumours with non-specific unilateral symptoms (occasionally bilateral) normal to the site of origin. They comprise a wide spectrum of pathological features. We report the case of a low grade non-intestinal sinonasal adenocarcinoma (SNAC) in a 38-year-old man who presented with a-six month history of right sided nasal blockage that was associated with occasional purulent rhinorrhoea and a month history of epistaxis.