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He had Burkkit Lymphoma at 27 years old, cured by quimiorradition and already discharged from the Heamatology Clinic, with no other remarkable antecedents.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The ENT physical examination was unremarkable, except for a 2<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">2</span> reddish, nontender, round, smooth and elastic mass on the right concha cymba (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">A CT scan showed absence of an infiltrative lesion with light contrast enhancement (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Due to the uncertainty of the lesion's nature we decided for surgical excision biopsy, including the lesion and covering skin with cartilage sparing. The surgical defect was reconstructed with a postauricular skin flap (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The frozen section histopathology exam revealed a capsulated lesion with no carcinoma involvement.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The definitive histologic examination of the mass revealed a follicular lymphoma with an immune-proliferative activity (Ki-67 index) of 30%. Immunoperoxidase staining of the atypical cells was positive for CD20, bcl2, bcl6, CD10 and CD23 and negative for CD3 and CD5.</p><p id="par0030" class="elsevierStylePara elsevierViewall">The patient was admitted to the Haematology Clinic. Clinical staging was completed and resulted negative for other lymphoma's localization. No adjuvant treatments were recommended.</p><p id="par0035" class="elsevierStylePara elsevierViewall">At 6 months follow-up evaluation confirms stable complete remission and well implemented flap with good aesthetic outcome (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:3 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 573 "Ancho" => 900 "Tamanyo" => 61042 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 437 "Ancho" => 1498 "Tamanyo" => 177975 ] ] ] 2 => array:6 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1012 "Ancho" => 1500 "Tamanyo" => 338007 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/00016519/0000007200000002/v1_202103041126/S0001651920300686/v1_202103041126/en/main.assets" "Apartado" => array:4 [ "identificador" => "5862" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes en otorrinolaringología" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00016519/0000007200000002/v1_202103041126/S0001651920300686/v1_202103041126/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651920300686?idApp=UINPBA00004N" ]
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Images in Otorhinolaryngology
Follicular lymphoma presenting as an isolated concha cymba mass
Linfoma folicular con presentación de masa aislada en la cymba de la concha
Ângela Reis-Rego
, João Almeida, João Lino
Autor para correspondencia
Porto Hospital and University Center - Otorhinolaryngology and Cervical-Facial Surgery Department, Largo do Prof. Abel Salazar, 4099-001 Porto, Portugal