아데노이드 증식으로 오인된 소아 비인두 호지킨 림프종 1예

Adenoidectomy is performed frequently for snoring, nasal obstruction, and sleep apnea by the otolaryngology department. Most of the patients are young children making it difficult to perform a physical examination of the nasopharynx. In most cases, the histopathological results of a tissue biopsy of the tonsil and adenoid are consistent with reactive lymphoid hyperplasia ; thus, clinicians do not usually suspect other diseases for an enlarged tonsil and adenoid. However, rare diseases such as tuberculosis, toxoplasmosis, and lymphoma can affect the nasopharynx in children. Among these, Hodgkin lymphoma is rarely located in the extranodal areas of the head and neck region and much less frequently affects the nasopharynx. Here, we report on a 10-year-old boy presenting with bilateral nasal obstruction, initially diagnosed as chronic adenoid hypertrophy, which was ultimately diagnosed as a Hodgkin lymphoma. (J Clinical Otolaryngol 2017;28:267-272)