Steward's type of neoplastic disease is rare. Much has been discussed on the histopathology of this granuloma. Most authors define it as a neoplasm of the lymphoid system, and it is a subgroup of the « midline granuloma syndrome ». We report a case of a 19-year-old first treated with chemotherapy (cyclophosphamide and prednisone) and then with radiotherapy, with good results.
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