case_images: PMC3753765_01
case_images: Pictures (a) and (b) showing anterior and lateral views of nasal granuloma from metastatic testicular ENKTCL-N lymphoma. Pictures (c) and (d) showing a CT of the sinuses with and without contrast, respectively, showing the nasal mass. Note: the patient had consented for the use of those pictures in research purposes.
case_images: CRIM.ONCMED2013-267389.001.jpg
case_images: PMC3753765_01_CRIM.ONCMED2013-267389.001.jpg
case_images: fig1
case_images: In addition, he had necrotized crusty and discolored cutaneous lesions with abundant purulent discharge (Figure 1). Candida. CT scan of the sinuses showed large 10 cm soft tissue mass in the nose extending into the nasal cavity and necrotic lesions in the tonsils (Figure 1).
case_images: Picture (a) showing dense and diffuse polymorphous population of tumor cells consisting of small to medium sized and large cells with irregular nuclei. Picture (b) showing an immunohistochemistry with tumor cells expressing CD56.
case_images: CRIM.ONCMED2013-267389.002.jpg
case_images: PMC3753765_01_CRIM.ONCMED2013-267389.002.jpg
case_images: fig2
case_images: Bone marrow and nasal tumor biopsies revealed dense and diffuse proliferation of medium to large sized atypical lymphoid population (Figure 2(a)). The tumor cells expressed LCA, CD56, and CD3 cytoplasmic and were negative for CD20 suggesting NKTCL-N lymphoma (Figure 2(b)).