DOI: 10.36347/sjmcr.2021.v09i05.011

Pages: 506-509

Lymphomas are malignant neoplasms of the lymphocytic cell lines, involving mainly lymph nodes and also extra nodal sites. They are generally classified as either Hodgkin’s lymphoma, or Non-Hodgkin’s lymphoma; which may be of either B – lymphocyte or T – lymphocyte in origin. Oropharyngeal lymphomas are relatively rare and diagnosis is a challenge. Most frequently arising from the Waldeyer’s ring after gastrointestinal tract is the second most common site for extra nodal lymphomas. We report a case of primary Non –Hodgkin’s lymphoma arising from the soft palate in a 71- year- old male who presented with progressive difficulty in swallowing, slurred speech and choking on lying supine. There was no other lymphomatous lesion detected elsewhere in the body. Postnasal X- ray revealed a pedunculated mass arising from the soft palate down the laryngeal inlet. Excisional biopsy of the lesion showed sections of lymphoid tissue with partial effacement of the architecture replaced by ill- defined follicles and diffused pattern in some areas. Follicles are of various sizes and shapes, containing varying proportions of centrocytes and centroblasts suggestive of follicular mixed type of primary extra nodal lymphoma. Immunohistochemistry confirmed the diagnosis. Our patient has been followed up for 15months and currently doing well.