An Unusual Location of B-Cell Lymphoma Involving the Tongue

Abstract

Non-Hodgkin's lymphoma of extranodal origin is about 20-30%. 1 Initial manifestations of oral lesion are very rare, seen in 3-5% of cases. 2 Lymphomas involving the oropharyngeal lymphoid tissue are located in the Waldeyers ring and the gingival vestibule. Non-Hodgkin's lymphoma involving the base of the tongue is very rare. The most affected sites are tonsils, followed by palate, gingival mucosa, tongue, and buccal mucosa. 3,4 They manifest as ulcerative lesions. Histopathologically, they are diagnosed as Non-Hodgkin's lymphoma. Case reportA 78-year-old male presented with dysphagia for solid foods from the past one and a half months. No medications were taken and the patient was a smoker, starting from the age of 14 years until the age of 45 years. He used to smoke 2-3 packets per day. He has stopped smoking for the past 33 years. Examination revealed 2 cm  1 cm ulcerated and indurated mass. Mobility of the tongue is restricted. Cervical lymph nodes are not enlarged. Systemic examination showed that cardiovascular system, respiratory system, abdomen, and central nervous system were normal. Routine a p o l l o m e d i c i n e 1 2 ( 2 0 1 5 ) 2 7 7 -2 7 9 a r t i c l e i n f o Article history: