Nasal Non-Hodgkin's Lymphoma: CT Findings

PURPOSE: To describe the characteristics of CT findings in nasal lymphoma. MATERIALS AND METHODS: We retrospectively reviewed CT findings and pathologic findings of eight patients (six males and two females) aged between 24 and 68 years with pathologically-proven nasal lymphoma. We analyzed mass location, laterality, size, margin, mass effect, adjacent bony change and contrast enhancement pattern. RESULTS: All eight cases werenon-Hodgkin's lymphoma, intermediate grade, diffuse large cell type. Seven cases were B-cell type and one was T-cell. In all cases, tumors were located in the medial wall of the inferior turbinate. In four cases, they were also found in the anterior ethmoidal sinus, and in one case, in the nasal septum. The mean size of the main mass was 3.3 cm. In seven cases, tumors were unilateral (one on the right; six on the left), and in the remaining case, bilateral. In six cases tumor margin was smooth and in two cases focal nodularity was seen. In two cases there was no bony change, and in four, there was mucosal thickening along the nasal septum; in one of these four, minimal bony erosion was also found. In the other two cases, bony destruction was seen, and tumors were very large (7 cm in diameter) or bilterally located. In three cases, the nasal septum was displaced by the mass. In all cases with bony change, the nasal septum was involved. All tumors were homogeneously well enhanced after IV contrast administration. CONCLUSION: The main CT findings of nasal non-Hodgkin's lymphoma were smooth margin, unilateral location (mainly in the medial wall of the inferior turbinate and growing to the medial side without bony destruction) mucosal thickening along the nasal septum and clear homogeneous enhancement after IV contrast administration. These characteristics will help diagnosis, help determine the appropriate region for radiation and other appropriate therapy, and facilitate prognosis in patients with nasal non-Hodgkin's lymphoma.

A Digital Imaging Teaching File by Using the Internet, HTML and Personal Computers

PURPOSE: A film-based teaching file takes up space and the need to search through such a file places limitson the extent to which it is likely to be used. Furthermore it is not easy for doctors in a medium-sized hospitalto experience a variety of cases, and so for these reasons we created an easy-to-use digital imaging teaching filewith HTML(Hypertext Markup Language) and downloaded images via World Wide Web(WWW) services on the Internet. This was suitable for use by computer novices. MATERIALS AND METHODS: We used WWW Internet services as a resource for various images and three different IMB-PC compatible computers(386DX, 486DX-II, and Pentium) in downloading theimages and in developing a digitalized teaching file. These computers were connected with the Internet through ahigh speed dial-up modem(28.8Kbps) and to navigate the Internet. Twinsock and Netscape were used. HWP 3.0, Korean word processing software, was used to create HTML(Hypertext Markup Language) files and the downloaded images were linked to the HTML files. In this way, a digital imaging teaching file program was created. RESULTS: Access to aWeb service via the Internet required a high speed computer(at least 486DX II with 8MB RAM) for comfortabel use ;this also ensured that the quality of downloaded images was not degraded during downloading and that these were good enough to use as a teaching file. The time needed to retrieve the text and related images depends on the sizeof the file, the speed of the network, and the network traffic at the time of connection. For computer novices, adigital image teaching file using HTML is easy to use. CONCLUSION: Our method of creating a digital imaging teaching file by using Internet and HTML would be easy to create and radiologists with little computer experience who want to study various digital radiologic imaging cases would find it easy to use.