Radiographic enlargement of mandibular canal as first feature of non-Hodgkin's lymphoma.
Dentomaxillofac Radiol
; 39(6): 383-8, 2010 Sep.
Article
de En
| MEDLINE
| ID: mdl-20729189
ABSTRACT
Non-Hodgkin's lymphoma has the propensity to affect non-lymphoid tissue including oral tissue. Primary non-Hodgkin's lymphoma of the mandible mistreated as chronic periodontitis with diffuse enlargement of the mandibular canal and ice-cold numbness is very rarely described in English medical literature. A 57-year-old patient presented with a painful swelling on the left side of the mandible with a clinically chronic periodontitis associated with ice-cold numbness. A panoramic radiograph showed a diffuse uniform enlargement of the mandibular canal. Histological examination showed that the lesion was a primary intraosseous non-Hodgkin's lymphoma of the mandible. Immunohistochemical examination showed a positive reaction for CD20+, Ki-67+. Seven months after chemotherapy the patient was observed for possible life-threatening propagation of the disease. In conclusion, primary (extra-nodal) non-Hodgkin's lymphoma of the mandible usually clinically presents with bone swelling, teeth mobility and neurological disturbance. Radiographic features presenting as diffuse enlargement of the mandibular canal could be considered as non-Hodgkin's lymphoma.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Lymphome malin non hodgkinien
/
Grossissement radiographique
/
Tumeurs de la mandibule
/
Nerf mandibulaire
Type d'étude:
Diagnostic_studies
/
Etiology_studies
Limites:
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
Dentomaxillofac Radiol
Année:
2010
Type de document:
Article