Primary Non-Hodgkin's Lymphoma ofWaldeyer's Ring-A Retrospective Analysis
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Date
2002-04
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Abstract
Tweny -five newly diagnosed cases of primary Waldeye!'s Ring (WR) Non-Hodgkin's lymphoma
(NHL) registered from 1989-99 were analysed. These comprised 5% of tota! NHL cases. The most
common site was tonsil (44%). followed by nasopharynx (20%), base of tongue (20%). nasal cavity
(12%) and palate (4%). All the patients were staged thoroughly according to Ann Arbor staging system
and -40% patients were stage I. 36% patients stage II. 4% stage IIl and 20% stage IV. Eighty-eight per
cent patients were high grade at presentation and 12% were intermediate grade. Three patients absconded
without treatment. Patients were treated with radiotherapy alone (4/22 patients). chemotherapy with
CHOP regimen alone (9/22 patients) or a combination of both (9/22 patients). On comparison. complete
response was recorded in 4/4 patients treated with radiotherapy alone. 5/9 patients treated with
chemotherapy alone and 7/9 patients treated with combination of radiation and chemotherapy (p>O.05).
The range of Follow up period was 1-10 years with median 20 months. Overall 16/22 evaluable patients
were with no evidence of disease on last follow up and the primary site was the most common site of
first failure. A combined modality treatment except for stage Ia seems to be the treatment of choice for
this relatively (Uncommon entity of Primary Waldeyer's Rjng NHL.
Description
Keywords
Non-Hodgkin's lymphoma, Waldeyer's Ring
Citation
Kapoor Rakesh, Seghal Chander Mohan, Sharma Rakesh Raman, Kumar Kumar, Goshal S, Patel F D, Sharma S C. Primary Non-Hodgkin's Lymphoma ofWaldeyer's Ring-A Retrospective Analysis. JK Science Journal of Medical Education and Research. 2002 Apr-June.4 (2): 71-75