{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T13:24:02Z","timestamp":1763299442913},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Surg Onc"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                        <jats:title>Background<\/jats:title>\n                        <jats:p>Most lymphomas that involve the tonsil are large B cell lymphomas. Large B-cell lymphoma is a high grade malignancy which progresses rapidly. Tonsillar lymphoma usually presents as either a unilaterally enlarged palatine tonsil or as an ulcerative and fungating lesion over the tonsillar area. Small lymphocytic lymphomas (SLL) of the Waldeyer's ring are uncommon.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Case presentation<\/jats:title>\n                        <jats:p>We report a 41-year-old male who presented with a ten-year history of snoring. Physical examination revealed smooth bilateral symmetrically enlarged tonsils without abnormal surface change or cervical lymphadenopathy. Palatal redundancy and a narrowed oropharyngeal airway were also noted. The respiratory disturbance index (RDI) was 66 per hour, and severe obstruction sleep apnea (OSA) was suspected. No B symptoms, sore throat, odynophagia or dysphagia was found. We performed uvulopalatopharyngoplasty (UPPP) and pathological examination revealed incidental small B-cell lymphocytic lymphoma (SLL).<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Conclusion<\/jats:title>\n                        <jats:p>It is uncommon for lymphoma to initially present as OSA. SLL is an indolent malignancy and is not easy to detect in the early stage. We conclude that SLL may be a contributing factor of OSA in the present case.<\/jats:p>\n                     <\/jats:sec>","DOI":"10.1186\/1477-7819-2-26","type":"journal-article","created":{"date-parts":[[2004,7,31]],"date-time":"2004-07-31T06:22:44Z","timestamp":1091254964000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Small B cell lymphocytic lymphoma presenting as obstructive sleep apnea"],"prefix":"10.1186","volume":"2","author":[{"given":"Yung-An","family":"Tsou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuan-Kai","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chia-Der","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weng-Cheng","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming-Hsui","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2004,7,29]]},"reference":[{"key":"56_CR1","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1164\/ajrccm.164.4.2101127","volume":"164","author":"R Arens","year":"2001","unstructured":"Arens R, McDonough JM, Costarino AT, Mahboubi S, Tayag-Kier CE, Maislin G, Schwab RJ, Pack AI: Magnetic resonance imaging of the upper airway structure of children with obstructive sleep apnea syndrome. Am J Respir Crit Care Med. 2001, 164: 698-703.","journal-title":"Am J Respir Crit Care Med"},{"key":"56_CR2","first-page":"462","volume-title":"In: Cecil Textbook of Medicine","author":"KP Strohl","year":"2000","unstructured":"Strohl KP: Obstructive sleep apnea-hypopnea syndrome. In: Cecil Textbook of Medicine. Edited by: Goldman L, Ausiello D. 2000, Philadelphia, W.B. Saunders Company, 462-426."},{"key":"56_CR3","first-page":"949","volume-title":"In: Cecil Textbook of Medicine","author":"MJ Keating","year":"2000","unstructured":"Keating MJ: Chronic lymphocytic leukemia. In: Cecil Textbook of Medicine. Edited by: Goldman L, Ausiello D. 2000, Philadelphia, W.B. Saunders Company, 949-953."},{"key":"56_CR4","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1111\/j.1440-1843.1996.tb00046.x","volume":"1","author":"P Nolan","year":"1996","unstructured":"Nolan P: Chronic lymphatic leukemia presenting as severe obstructive sleep apnea. Respirology. 1996, 1: 299-301.","journal-title":"Respirology"},{"key":"56_CR5","doi-asserted-by":"publisher","first-page":"689","DOI":"10.1378\/chest.77.5.689","volume":"77","author":"F Zorick","year":"1980","unstructured":"Zorick F, Roth T, Kramer M, Flessa H: Exacerbation of upper-airway sleep apnea by lymphocytic lymphoma. Chest. 1980, 77: 689-690.","journal-title":"Chest"},{"key":"56_CR6","first-page":"259","volume":"523","author":"K Abe","year":"1996","unstructured":"Abe K, Hori Y, Ohtsu SY, Koike Y: A case of non-Hodgkin's lymphoma with macroglobulinemia. Acta Otolaryngol Suppl. 1996, 523: 259-262.","journal-title":"Acta Otolaryngol Suppl"},{"key":"56_CR7","doi-asserted-by":"publisher","first-page":"1605","DOI":"10.1136\/bmj.294.6587.1605","volume":"294","author":"M King","year":"1987","unstructured":"King M, Gleeson M, Rees J: Obstruction sleep apnea and tonsillar lymphoma. Br Med J (Chin Res Ed). 1987, 294: 1605-1606.","journal-title":"Br Med J (Chin Res Ed)"},{"key":"56_CR8","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1542\/peds.79.3.399","volume":"79","author":"D Ridgway","year":"1987","unstructured":"Ridgway D, Wolff LJ, Neerhout RC, Tilford DL: Unsuspected non-Hodgkin's lymphoma of the tonsils and adenoids in children. Pediatrics. 1987, 79: 399-402.","journal-title":"Pediatrics"},{"key":"56_CR9","doi-asserted-by":"publisher","first-page":"1833","DOI":"10.1093\/annonc\/mdf277","volume":"13","author":"A Chehal","year":"2002","unstructured":"Chehal A, Haidar JH, Jabbour R, Yammout B, Bazarbachi A: Obstructive sleep apnea secondary to chronic lymphocytic leukemia. Ann Oncol. 2002, 13: 1833-10.1093\/annonc\/mdf277.","journal-title":"Ann Oncol"},{"key":"56_CR10","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1002\/lary.5541121404","volume":"112","author":"DH Darrow","year":"2002","unstructured":"Darrow DH, Siemens C: Indications for tonsillectomy and adenoidectomy. Laryngoscope. 2002, 112: 6-10. 10.1097\/00005537-200208001-00004.","journal-title":"Laryngoscope"}],"container-title":["World Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1477-7819-2-26.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T12:05:02Z","timestamp":1728302702000},"score":1,"resource":{"primary":{"URL":"https:\/\/wjso.biomedcentral.com\/articles\/10.1186\/1477-7819-2-26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,7,29]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2004,12]]}},"alternative-id":["56"],"URL":"https:\/\/doi.org\/10.1186\/1477-7819-2-26","relation":{},"ISSN":["1477-7819"],"issn-type":[{"type":"electronic","value":"1477-7819"}],"subject":[],"published":{"date-parts":[[2004,7,29]]},"assertion":[{"value":"25 June 2004","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 July 2004","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 July 2004","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"26"}}