PMID- 38279752 OWN - NLM STAT- Publisher LR - 20240127 IS - 1875-5666 (Electronic) IS - 1566-5240 (Linking) DP - 2024 Jan 25 TI - Large B-cell Lymphoma with IRF4 Rearrangement in the Nasolacrimal Duct: A Clinicopathological Study of One Case and Literature Review. LID - 10.2174/0115665240272361231229122203 [doi] AB - BACKGROUND: Large B-cell lymphoma (LBCL) with interferon regulatory factor 4 (IRF4) rearrangement (LBCL-IRF4) is a rare subtype of LBCL, with a high prevalence in Waldeyer's ring as well as the neck, head and gastrointestinal lymph nodes. MATERIALS AND METHODS: A patient with 2-month clinical symptoms of nasal obstruction and facial swelling was reported in this short review. A nasal endoscopy examination revealed a neoplasm in the inferior nasal meatus. Both CT and enhanced MRI showed that a soft tissue occupied the nasolacrimal duct, with bone destruction, and extended into the left nasal cavity and left lacrimal gland area. Then, a biopsy of the neoplasm in the inferior nasal meatus was performed. RESULTS: HE staining results showed that neoplastic cells presented diffuse growth patterns, abundant cytoplasm, vacuole shape, lightly stained nuclei, and irregular nuclear membrane. Immunohistochemistry staining results revealed MUM1(+), Bcl6(+), CD20(+), CD79alpha(+), and CD10(+). FISH analyses detected positive IRF4 rearrangement. LBCL-IRF4 was diagnosed in the patient. The patient received treatment with four cycles of R-CHOP and two times of rituximab, followed up for 2 years, and finally got complete remission. CONCLUSION: For the first time, we summarize the imaging and pathological features, drug treatment, and curative effect of LBCL-IRF4 in the nasolacrimal duct. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Chen, Wang-Xing AU - Chen WX AD - Department of Otolaryngology, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, 322000, Zhejiang, China. FAU - Wu, Jun AU - Wu J AD - Department of Otolaryngology, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, 322000, Zhejiang, China. FAU - He, Jian-Guo AU - He JG AD - Department of Otolaryngology, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, 322000, Zhejiang, China. LA - eng PT - Case Reports DEP - 20240125 PL - Netherlands TA - Curr Mol Med JT - Current molecular medicine JID - 101093076 SB - IM OTO - NOTNLM OT - IRF4 rearrangement OT - Large B-cell lymphoma OT - case report. OT - nasolacrimal duct EDAT- 2024/01/27 12:44 MHDA- 2024/01/27 12:44 CRDT- 2024/01/27 05:29 PHST- 2023/08/23 00:00 [received] PHST- 2023/12/09 00:00 [revised] PHST- 2023/12/12 00:00 [accepted] PHST- 2024/01/27 12:44 [medline] PHST- 2024/01/27 12:44 [pubmed] PHST- 2024/01/27 05:29 [entrez] AID - CMM-EPUB-137906 [pii] AID - 10.2174/0115665240272361231229122203 [doi] PST - aheadofprint SO - Curr Mol Med. 2024 Jan 25. doi: 10.2174/0115665240272361231229122203.