Mantle cell lymphona 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 bi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Universiti Putra Malaysia
2023
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| Online Access: | http://psasir.upm.edu.my/id/eprint/110387/ http://psasir.upm.edu.my/id/eprint/110387/1/2023051612005750_MJMHS_0431.pdf |
| _version_ | 1848865511577747456 |
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| author | Ishak, Noor Liza Tan, Sui Teng Mahat, Mahfida |
| author_facet | Ishak, Noor Liza Tan, Sui Teng 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 | 2025-11-15T14:05:52Z |
| format | Article |
| id | upm-110387 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T14:05:52Z |
| publishDate | 2023 |
| publisher | Universiti Putra Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1103872024-09-05T07:27:10Z http://psasir.upm.edu.my/id/eprint/110387/ Mantle cell lymphona masquerading as obstructive sleep apnoea Ishak, Noor Liza Tan, Sui Teng 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. Universiti Putra Malaysia 2023-05 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/110387/1/2023051612005750_MJMHS_0431.pdf Ishak, Noor Liza and Tan, Sui Teng and Mahat, Mahfida (2023) Mantle cell lymphona 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/upload/dokumen/2023051612005750_MJMHS_0431.pdf 10.47836/mjmhs.19.3.51 |
| spellingShingle | Ishak, Noor Liza Tan, Sui Teng Mahat, Mahfida Mantle cell lymphona masquerading as obstructive sleep apnoea |
| title | Mantle cell lymphona masquerading as obstructive sleep apnoea |
| title_full | Mantle cell lymphona masquerading as obstructive sleep apnoea |
| title_fullStr | Mantle cell lymphona masquerading as obstructive sleep apnoea |
| title_full_unstemmed | Mantle cell lymphona masquerading as obstructive sleep apnoea |
| title_short | Mantle cell lymphona masquerading as obstructive sleep apnoea |
| title_sort | mantle cell lymphona masquerading as obstructive sleep apnoea |
| url | http://psasir.upm.edu.my/id/eprint/110387/ http://psasir.upm.edu.my/id/eprint/110387/ http://psasir.upm.edu.my/id/eprint/110387/ http://psasir.upm.edu.my/id/eprint/110387/1/2023051612005750_MJMHS_0431.pdf |