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Nation‐wide study of lethal mid‐line granuloma in Japan: Frequencies of Wegener's granulomatosis, polymorphic reticulosis, malignant lymphoma and other related conditions
Author(s) -
Aozasa Katsuyuki,
Ohsawa Masahiko,
Tajima Kazuo,
Sasaki Ryoji,
Maeda Hajime,
Matsunaga Torn,
Friedmann I.
Publication year - 1989
Publication title -
international journal of cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.475
H-Index - 234
eISSN - 1097-0215
pISSN - 0020-7136
DOI - 10.1002/ijc.2910440112
Subject(s) - malignant lymphoma , granuloma , medicine , lymphoma , pathology , nose , disease , granuloma formation , surgery
Lethal mid‐line granuloma (LMG) is a clinical term, and it is histologically composed of Wegener's granulomatosis (WG), polymorphic reticulosis (PR), and malignant lymphoma (ML). WG is an inflammatory disease, and PR and ML are considered to represent a neoplastic proliferation of lymphoreticu‐lar cells. In the present report, a nation‐wide study on LMG in Japan is compared with a study from the UK, to examine differences in frequencies of each disease in Eastern and Western countries. A total of 340 cases of LMG were examined. On the basis of histological and clinical findings, these cases were categorized as 68 WG, 129 PR, 92 ML, 44 chronic inflammation not specified, and 7 other related conditions. The crude frequencies of WG, PR, and ML per 100,000 outpatients of ENT clinics in Japan and England were 4, 8 and 6, respectively and 8, 4 and 1, respectively. The predominance of malignant lym‐phoproliferative diseases to WG in Japan (3.5:P was in marked contrast to the situation in the UK (1: 1.6). A. eview of the pertinent literature suggests a clustering of malignant lymphoproliferative diseases of the nose among Mongolian ethnic groups.