KOREASCHOLAR

악골에서 발생한 미만성 거대 B세포 림프종의 조기 진단 중요성 The Importance of Early Diagnosis of Diffuse Large B-cell Lymphoma in the Jaw: Case Reports

오지석, 권익재, 명훈
  • 언어ENG
  • URLhttp://db.koreascholar.com/Article/Detail/419347
대한구강악안면병리학회지
제46권 제6호 (2022.12)
pp.157-162
대한구강악안면병리학회 (Korean Academy Of Oral And Maxillofacial Pathology)
초록

Lymphoma, which accounts for 3.5% of all oral cancers, is further divided into Hodgkin's lymphoma (HL) and non-Hodgkin's lymphoma (NHL). NHL accounts for 96% of lymphomas, and diffuse large B-cell lymphoma (DLBCL) is the most common subtype accounting for 32% of NHL. In the oral cavity, extra-nodal non-Hodgkin's lymphoma may develop in the dentoalveolar region of the maxilla or mandible. It can also mimic inflammatory lesions that occur around periodontal tissues, such as periapical granuloma and chronic osteomyelitis. Misdiagnosis of jaw lymphoma can delay appropriate treatments and worsen the prognosis. Therefore, to avoid delay in diagnosis, clinicians should identify the possible malignancy based on unusual symptoms, clinical findings, radiographic examinations, and histopathological evaluation. We present two cases of DLBCL in the right posterior mandible of a 64-year-old man who was initially misdiagnosed as acute apical abscess and in the right posterior maxilla of an 81-year-old woman who was initially misdiagnosed as chronic periodontitis. These cases demonstrate that it is important for both pathologists and clinicians to consider malignant lesions such as lymphomas in the differential diagnosis of apical radiolucency.

목차
Abstract
Ⅰ. INTRODUCTION
Ⅱ. CASE REPORT
    1. Case 1
    2. Case 2
Ⅲ. DISCUSSION
Author Contributions
Consent for Publishing Photographs
Conflict of Interest
REFERENCES
저자
  • 오지석(서울대학교 치과대학 구강악안면외과학 교실, 치의학연구소) | Ji Seok Oh (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Research Institute, Seoul National University)
  • 권익재(서울대학교 치과대학 구강악안면외과학 교실, 치의학연구소) | Ik-Jae Kwon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Research Institute, Seoul National University) Corresponding author
  • 명훈(서울대학교 치과대학 구강악안면외과학 교실, 치의학연구소) | Hoon Myoung (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Research Institute, Seoul National University)