We report a case of extranodal NK/T-cell lymphoma, nasal type, which is rare in the United States and Europe. It is more prevalent in Asians and Native Americans of Mexico, Central America, and South America. A 30-year-old Southeast Asian man with facial swelling, fever, and unintentional weight loss was found to have leukopenia and thrombocytopenia. He underwent endoscopic sinus surgery, which confirmed extranodal NK/T-cell lymphoma, nasal type, and a blood and bone marrow examination, which was negative for involvement but yielded the diagnosis of alpha-E thalassemia. The patient received chemotherapy, radiotherapy, and a stem cell transplant with 100% engraftment.
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