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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2023; 13(01): 134-136
DOI: 10.1055/s-0042-1744440
Case Report

Penile Ulcer as the Unusual Initial Presentation of Nasal NK/T Cell Lymphoma

Apoorva Kanthaje 
1   Department of Pathology, KS Hegde Medical Academy, Mangaluru, Karnataka, India
,
Usha Amirtham
2   Department of Pathology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
M. C. Suresh Babu
3   Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
,
Shivalingaiah Maregowda
4   Department of Urology, Institute of Nephrology, Bengaluru, Karnataka, India
,
Pramod Adiga
5   Department of Urology, Institute of Nephrology, Bengaluru, Karnataka, India
,
C. Ramachandra
6   Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka, India
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Abstract

Extranodal natural killer (NK)/T cell lymphoma is a highly aggressive non-Hodgkin lymphoma that predominantly affects the upper aerodigestive tract. The nasal type accounts for ∼80% of cases of NK/T cell lymphomas. In advanced stages, the disease can disseminate to various sites such as skin, testis, eyes, gastrointestinal tract, and soft tissue. NK/T cell lymphoma presenting as lesion in penis is extremely rare. While reviewing the published literature, we found only three reported cases of NK/T cell lymphoma involving the penis. Among them, none was primary NK/T cell lymphoma of penis. We report a 60-year-old NK/T cell lymphoma patient who presented with destructive penile ulcer as the initial presenting symptom, who subsequently was found to have a nasal mass also with features of NK/T cell lymphoma. He underwent partial penectomy elsewhere and chemotherapy with steroid, methotrexate, ifosfamide, L-asparaginase, and etoposide protocol was given.

Keywords

extranodal NK/T cell lymphoma - penile lymphoma


Publication History

Article published online:
09 June 2022

© 2022. Nitte (Deemed to be University). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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