ANGIOTROPIC LYMPHOMA OF PARANASAL SINUSES WITH INITIAL SYMPTOMS OF OCULOMOTOR NERVE PALSY

A 78-year-old female was found to have angiotropic lymphoma, a rare fa tal disease, with initial symptoms of oculomotor nerve palsy. A biopsy of the paranasal sinus mucosa showed that the small vessels were occu pied by large mononuclear cells which upon immunohistochemical examina tion tested positive for pre B-cell markers. She felt a gradually incr easing pain in her left thigh. Magnetic resonance imaging suggested th e involvement of neoplastic cells in the left femoral bone marrow. Fol lowing chemotherapy treatment remission was achieved. Early diagnosis of angiotropic lymphoma appears very significant, as this disorder cou ld be well controlled by systemic chemotherapy.