Table 1: Demographic, clinical, radiographic, histological, and immunohistochemical features of reported cases of Diffuse Large B Cell Lymphoma in the tonsillar area.

S.No.

Author Details

Age/Sex

Chief Complaint

Clinical Features

Radiographic Features

Histopathology

Ihc (+/-)

Diagnosis

1.

Rai, et al. 2021

65/M

Swelling left tonsillar fossa past 10 days, sudden in onset, associated with difficulty while swallowing food, and change in voice past 5 days

Unilateral growth with smooth bosselated surface arising from left tonsillar fossa (5 × 8 cm) pushing anterior and posterior tonsillar pillars, inferiorly extending up to left vallecula crossing the midline.

Well-defined globular soft tissue density along left posterior pharyngeal wall extending up to soft palate.

Complete effacement of tonsillar architecture replaced by tumour tissue sheets of monomorphic medium to large round to mildly indented cells with vesicular nuclei and variable number of nucleoli. Atypical mitotic figures and numerous

 karyorrhectic debris.

CD20, CD45, CD10, and Ki-67(+).

Diffuse large B-cell non-Hodgkin’s type of lymphoma.

2.

Kof, et al. 1996

72/M

Mass in mouth noticed 3 weeks before and continued to enlarge.

No history of fever, night sweats, malaise or weight loss. 5 × 5 cm mass noted on left tonsillar fossa. No palpable cervical nodes.

Mass lesion originating from left tonsillar fossa and protruding into the oropharyngeal passage and nasopharyngeal area.

NA

 

 

NA

Non-Hodgkin’s lymphoma of the "intermediate grade" diffuse mixed small and large cell type

3.

Gu, et al. 2013

5/M

Snoring and open mouth opening for 3 years. No fever, night sweats, lymphadenopathy or weight loss.

NA

NA

Large, monomorphic atypical lymphoid cells were diffusely proliferated.

CD20, Bcl-2, Bcl-6 Mum1, CD56(+). CD5, CD7, CD10, EBV PCR (-). Immunoglobulin heavy chain rearrangement showed monoclonality.

Diffuse B-cell lymphoma.

Bc4.

Rajabato, et al. 2021

59/M

Sore throat for one month. Dysphagia, odynophagia and unusual snoring. No history of weight loss, night sweats or prolonged fever.

Unilateral swelling of the right tonsil and lymphadenopathy of the right Mandible.

Solid

tumour mass of right palatine tonsil (3.65 × 3.39 × 3.88 cm) and multiple lymph nodes less than 1 cm at submandibular level

Diffuse proliferation

of large-sized tumour cells with pleomorphic

nuclei, coarse chromatin and scanty eosinophilic

cytoplasm.

CD45, CD20, BCL-2, BCL-6, MUM1 (+).

CD10, Cyclin-D1(-).

Ki67(+).

Diffuse B-cell lymphoma.

5.

Torres, et al.

2020

50/M

Odynophagia for past 1 month followed by left painful cervical swelling.

Left tonsil enlargement with exudate suspicious of a tonsillar abscess, associated with left cervical tender swelling

 

Mildly enhancing homogenous lesion in left palatine tonsil, and a similar small mass on right tonsil. Bilateral lymphadenopathies in cervical lymph node, mediastinal, pulmonary hilum and axilla.

Features suggestive of non-Hodgkin’s lymphoma.

CD20, CD45, BCL-2 (+).

CD30(-).

Diffuse Large B-cell lymphoma.

8.

Ma, et al.

2019

NA

NA

49 cases in the Tonsillar region

NA

NA

MUM1, BCL-2, BCL-6, and C-MYC (+).

IRF4 (+).

Diffuse large B- cell lymphoma

9.

Triantafillidou, etal.

2012

 

NA

NA

4 cases in the Waldeyer ring

NA

NA

CD5, CD10, CD20, CD23, Bcl-2, Bcl-6, MUM1, cyclin

D1, Ki67, and Tdt (+).

Diffuse large B- cell lymphoma

*M: Male; NA: Not Applicable; CD: Cluster of Differentiation; Ki: Kiel, Bcl: B-Cell Lymphoma; MUM: Multiple Myeloma oncogene; EBV PCR: Ebstein- Barr Virus Polymerase Chain Reaction; C-MYC: Cellular Myelocytomatosis; IRF: Interferon Regulatory Factor; Tdt: Terminal Deoxynucleotidyl Transferase