Mantle Cell Lymphoma Masquerading as obstructive sleep apnoea
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 bila...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
2022
|
| Online Access: | http://psasir.upm.edu.my/id/eprint/102133/ http://psasir.upm.edu.my/id/eprint/102133/1/2023051612005750_MJMHS_0431.pdf |
| _version_ | 1848863723150639104 |
|---|---|
| author | Ishak, Noor Liza Teng, Tan Sui Mahat, Mahfida |
| author_facet | Ishak, Noor Liza Teng, Tan Sui Mahat, Mahfida |
| author_sort | Ishak, Noor Liza |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-15T13:37:27Z |
| format | Article |
| id | upm-102133 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T13:37:27Z |
| publishDate | 2022 |
| publisher | Faculty of Medicine and Health Sciences, Universiti Putra Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1021332023-08-22T03:36:11Z http://psasir.upm.edu.my/id/eprint/102133/ Mantle Cell Lymphoma Masquerading as obstructive sleep apnoea Ishak, Noor Liza Teng, Tan Sui Mahat, Mahfida 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. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2022 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/102133/1/2023051612005750_MJMHS_0431.pdf Ishak, Noor Liza and Teng, Tan Sui and Mahat, Mahfida (2022) Mantle Cell Lymphoma Masquerading as obstructive sleep apnoea. Malaysian Journal of Medicine and Health Sciences, 19 (3). pp. 390-392. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/jurnal_kami/volume_19_2023/mjmhs_vol19_no_3_may_2023-72844 10.47836/mjmhs.19.3.51 |
| spellingShingle | Ishak, Noor Liza Teng, Tan Sui Mahat, Mahfida Mantle Cell Lymphoma Masquerading as obstructive sleep apnoea |
| title | Mantle Cell Lymphoma Masquerading as obstructive sleep apnoea |
| title_full | Mantle Cell Lymphoma Masquerading as obstructive sleep apnoea |
| title_fullStr | Mantle Cell Lymphoma Masquerading as obstructive sleep apnoea |
| title_full_unstemmed | Mantle Cell Lymphoma Masquerading as obstructive sleep apnoea |
| title_short | Mantle Cell Lymphoma Masquerading as obstructive sleep apnoea |
| title_sort | mantle cell lymphoma masquerading as obstructive sleep apnoea |
| url | http://psasir.upm.edu.my/id/eprint/102133/ http://psasir.upm.edu.my/id/eprint/102133/ http://psasir.upm.edu.my/id/eprint/102133/ http://psasir.upm.edu.my/id/eprint/102133/1/2023051612005750_MJMHS_0431.pdf |