Otolaryngologists are frequently involved in the diagnosis of lymphoma and a quarter of all extranodal lymphomas occur in the head and neck.

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Signs and symptoms​

Lymphoma may be nodal or extranodal. Common symptoms include the following:

• Nodal presentation of HL Hodgkin lymphoma - 1 or more small-to-medium, rubbery lymph nodes in the neck, which may wax or wane in size but grow over time
• NHL non Hodgkin lymphoma- Mass in the oropharynx or nasopharynx
• Extranodal natural killer (NK)/T-cell lymphoma, nasal type - Ulcerative destructive lesion of the nose, sinuses, and face
• Lymphoma in the thyroid - Neck swelling, hoarseness, dysphagia, or neck pressure/tenderness
• Constitutional symptoms (B symptoms) - These may occur in up to one third of patients with lymphoma

 

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