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Case Report
 
Primary aggressive non-Hodgkin lymphoma of the parotid gland in a young individual: A case report
Devika Gupta1, GPS Gahlot2, Vandana Rana3, Rajat Jagani4, Davendra Swarup5
1MD, DNB Pathology, Assistant Professor, Armed Forces Medical College, Department of Pathology and Laboratory Science, Command Hospital, Pune, India.
2MD Pathology, Assistant Professor, Armed Forces Medical College, Department of Pathology and Laboratory Science, Command Hospital, Pune, India.
3MD Pathology, Assistant Professor, Department of Pathology and Laboratory Science, Command Hospital, Pune, India.
4MD Pathology, Associate Professor, Department of Pathology and Laboratory Science, Command Hospital, Pune, India.
5Professor, Department of Pathology and Laboratory Science, Command Hospital, Pune, India.

doi:10.5348/ijcri-201474-CR-10385

Address correspondence to:
Devika Gupta
MD, DNB Pathology, Assistant Professor, Armed Forces Medical College
Department of Pathology and Laboratory Science
Command Hospital, Pune - 411 040
India
Phone: 9158984335
Email: devikalives5h@gmail.com

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How to cite this article
Gupta D, Gahlot GPS, Rana V, Jagani R, Swarup D. Primary aggressive non-Hodgkin lymphoma of the parotid gland in a young individual: A case report. International Journal of Case Reports and Images 2014;5(5):377–381.


Abstract
Introduction: Extranodal non-Hodgkin lymphomas constitute 25–40% of all lymphomas. The most common site is gastrointestinal tract followed by head and neck area. Salivary gland is involved in 2–5% of all cases.
Case Report: We herein report a case of a 24-year-old male who presented with painless, gradually increasing mass in the region of left parotid. Imaging studies, both ultrasonography and magnetic resonance imaging (MRI), were suggestive of infiltrative mass lesion involving the left parotid gland along with evidence of suspected bony metastasis. Patient underwent total parotidectomy with excision of level II&III cervical lymph nodes. Histopathological examination supported by immunohistochemistry helped us to clinch the diagnosis of primary diffuse large B cell lymphoma of the parotid gland.
Conclusion: Non-Hodgkin lymphoma can mimic a large number of both benign and malignant disease entities of the salivary gland. Hence a high index of suspicion is required for an early diagnosis of non-Hodgkin lymphoma in a rapidly growing mass of salivary gland.

Keywords: Non-Hodgkin lymphoma, Salivary glands, Parotid gland, Diffuse large B cell (DLBCL)


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Author Contributions
Devika Gupta – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
GPS Gahlot – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Vandana Rana – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Rajat Jagani – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Davendra Swarup – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
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Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Devika Gupta et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Devika Gupta is Assistant Professor in Department of Pathology, Armed Forces Medical College, Pune, India. She earned the undergraduate degree MBBS from Armed Forces Medical College, Pune University, India and postgraduate degrees (MD Pathology) and (DNB Pathology) from Delhi University, India. She has published 15 research papers in national and international academic journals. Her research interests include haematolymphoid malignancies and Blood coagulation disorders. She intends to pursue fellowship in transplant immunology in future.



G.P.S Gahlot is Assistant Professor in Department of Pathology in Armed Forces Medical College, Pune, India. He earned the undergraduate degree (MBBS) from Allahabad University, India and postgraduate degree form Command Hospital Air Force, Bangalore, India. He has published research papers in national and international academic journals and also authored books. His research interests include hematolymphoid and gastrointestinal malignancies. He intends to pursue a career in Oncopathology for which he has recently joined a two year fellowship in Oncopathology in All India Institute of Medical Sciences, India.



Vandana Rana is Associate Professor in Pathology Department at Command Hospital, Pune, India. She earned her MBBS and MD (Pathology) from PGIMS Rohtak, Haryana, India. She has been working in field of Oncopathology for last seven years. Her research interests include breast and lymphoid malignancies. She has active interest in teaching. She intends to keep on upgrading and expanding her horizons.



Rajat Jagani is Associate Professor at Department of Pathology Command Hospital, Pune, Maharashtra, India. He earned the undergraduate degree MBBS from University of Pune, Pune Maharashtra, India and postgraduate degree form University of Pune, Pune Maharashtra, India. (Long-Term Training in Oncopathology at Post Graduate Institute of Medical Education and Research, Chandigarh India). He has published seven research papers in national and international academic journals. His research interests include prostate pathology, breast pathology and effusion cytology. He intends to pursue PhD in oncopathology in future.



Davendra Swarup is HOD Pathology Department, Command Hospital, Pune, India. He passed his MBBS and MD (Pathology) from Agra University, India. He has been teaching undergraduate and postgraduate students since 14 years. His research interests include histopathology and transfusion medicine.