We report the first case of an extranodal follicular dendritic cell (F
DC) tumour localized in the nasopharynx of a 44-year-old male patient.
The tumour cells were characterized immunohistochemically by strong e
xpression of CD21, HLA-DR and vimentin and focal expression of CD68 an
d cytokeratin. Electron microscopic examination revealed desmosomal ce
ll junctions between adjacent cell processes. Molecular genetic analys
is using polymerase chain reaction (PCR) showed germline configuration
of immunoglobulin and T-cell receptor genes. Epstein-Barr virus (EBV)
genomes were detectable by PCR. After complete surgical tumour remova
l and radiotherapy the patient is disease-free 20 months after the ini
tial diagnosis.