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The patient was a 50-year-old woman who went to a dermatology clinic because of painless ulcers in her upper jaw and swelling of her lips, which was associated with intermittent fever and general discomfort.
she had a three-year history of nasal obstruction of her nose, for which she was treated with neocorticocorticosteroids and antibiotics in her nose.
physical examination found a large ulcer with a broken base spread over the soft, hard jaw.
in addition to the swollen upper lip and discolored nasal secretions, it was also found that there was a decay covered with fibrin-like secretions.
laboratory tests found a white blood cell count of 2200 mm3 (reference range 4500 to 11000), hemoglobin level s10.7 g/dL (reference range 12 to 15), platelet count of 65000 per cubic milliliter (reference range 150,000 to 400000) and ferritin level 18745/ng22 (reference range 22to2). Histopathology analysis of
biopsy specimens found lymphoma hyperploff, CD3, CD56 and granulatose B staining positive, and the Epstein-Barr virus was detected in situ hybridization, diagnosed as nasal ligand naturally lethal T-cell lymphoma.
bone marrow biopsies show evidence of phagocytosis, which is related to the disease.
the patient began to undergo chemotherapy;
.
