Radiographic enlargement of mandibular canal as first feature of non-Hodgkin's lymphoma
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 medic...
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Veröffentlicht in: | Dento-maxillo-facial radiology 2010-09, Vol.39 (6), p.383-388 |
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creator | Buric, N Jovanovic, G Radovanovic, Z Buric, M Tijanic, M |
description | 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. |
doi_str_mv | 10.1259/dmfr/16059055 |
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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.</description><identifier>ISSN: 0250-832X</identifier><identifier>EISSN: 1476-542X</identifier><identifier>DOI: 10.1259/dmfr/16059055</identifier><identifier>PMID: 20729189</identifier><language>eng</language><publisher>England: The British Institute of Radiology</publisher><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Case Report ; Cyclophosphamide - therapeutic use ; Diagnosis, Differential ; Doxorubicin - therapeutic use ; Humans ; Hypesthesia - etiology ; Ki-67 Antigen - analysis ; Lymphoma, Non-Hodgkin - complications ; Lymphoma, Non-Hodgkin - diagnostic imaging ; Lymphoma, Non-Hodgkin - drug therapy ; Lymphoma, Non-Hodgkin - pathology ; Male ; Mandibular Neoplasms - complications ; Mandibular Neoplasms - diagnostic imaging ; Mandibular Neoplasms - drug therapy ; Mandibular Neoplasms - pathology ; Mandibular Nerve - diagnostic imaging ; Middle Aged ; Periodontitis - diagnosis ; Prednisone - therapeutic use ; Radiographic Magnification ; Thermosensing ; Tomography, X-Ray Computed ; Vincristine - therapeutic use</subject><ispartof>Dento-maxillo-facial radiology, 2010-09, Vol.39 (6), p.383-388</ispartof><rights>2010 The British Institute of Radiology 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-778550c3f36b2568f0ff80ce2ad68b4f4219d28c0d57b6f45f27f63655b02f2b3</citedby><cites>FETCH-LOGICAL-c452t-778550c3f36b2568f0ff80ce2ad68b4f4219d28c0d57b6f45f27f63655b02f2b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20729189$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Buric, N</creatorcontrib><creatorcontrib>Jovanovic, G</creatorcontrib><creatorcontrib>Radovanovic, Z</creatorcontrib><creatorcontrib>Buric, M</creatorcontrib><creatorcontrib>Tijanic, M</creatorcontrib><title>Radiographic enlargement of mandibular canal as first feature of non-Hodgkin's lymphoma</title><title>Dento-maxillo-facial radiology</title><addtitle>Dentomaxillofac Radiol</addtitle><description>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.</description><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Case Report</subject><subject>Cyclophosphamide - therapeutic use</subject><subject>Diagnosis, Differential</subject><subject>Doxorubicin - therapeutic use</subject><subject>Humans</subject><subject>Hypesthesia - etiology</subject><subject>Ki-67 Antigen - analysis</subject><subject>Lymphoma, Non-Hodgkin - complications</subject><subject>Lymphoma, Non-Hodgkin - diagnostic imaging</subject><subject>Lymphoma, Non-Hodgkin - drug therapy</subject><subject>Lymphoma, Non-Hodgkin - pathology</subject><subject>Male</subject><subject>Mandibular Neoplasms - complications</subject><subject>Mandibular Neoplasms - diagnostic imaging</subject><subject>Mandibular Neoplasms - drug therapy</subject><subject>Mandibular Neoplasms - pathology</subject><subject>Mandibular Nerve - diagnostic imaging</subject><subject>Middle Aged</subject><subject>Periodontitis - diagnosis</subject><subject>Prednisone - therapeutic use</subject><subject>Radiographic Magnification</subject><subject>Thermosensing</subject><subject>Tomography, X-Ray Computed</subject><subject>Vincristine - therapeutic use</subject><issn>0250-832X</issn><issn>1476-542X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkN9LwzAQx4Mobk4ffZW--VR3TZq0fRFkqBMGgijuLaT50UXbpCSbsP_ejunQp4O7z33v-CB0mcFNhmk1VZ0J04wBrYDSIzTO8oKlNMfLYzQGTCEtCV6O0FmMHwCQE8pO0QhDgausrMbo_UUo65sg-pWViXatCI3utFsn3iSdcMrWm6GXSOFEm4iYGBviOjFarDdB7yDnXTr3qvm07jom7bbrV74T5-jEiDbqi586QW8P96-zebp4fnya3S1SmVO8TouipBQkMYTVmLLSgDElSI2FYmWdmxxnlcKlBEWLmpmcGlwYRhilNWCDazJBt_vcflN3Wsnh8yBa3gfbibDlXlj-f-Lsijf-ixOKAZNqCEj3ATL4GIM2h90M-M4w3xnmv4YH_urvwQP9q5R8A03nebQ</recordid><startdate>201009</startdate><enddate>201009</enddate><creator>Buric, N</creator><creator>Jovanovic, G</creator><creator>Radovanovic, Z</creator><creator>Buric, M</creator><creator>Tijanic, M</creator><general>The British Institute of Radiology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>201009</creationdate><title>Radiographic enlargement of mandibular canal as first feature of non-Hodgkin's lymphoma</title><author>Buric, N ; Jovanovic, G ; Radovanovic, Z ; Buric, M ; Tijanic, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-778550c3f36b2568f0ff80ce2ad68b4f4219d28c0d57b6f45f27f63655b02f2b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</topic><topic>Case Report</topic><topic>Cyclophosphamide - therapeutic use</topic><topic>Diagnosis, Differential</topic><topic>Doxorubicin - therapeutic use</topic><topic>Humans</topic><topic>Hypesthesia - etiology</topic><topic>Ki-67 Antigen - analysis</topic><topic>Lymphoma, Non-Hodgkin - complications</topic><topic>Lymphoma, Non-Hodgkin - diagnostic imaging</topic><topic>Lymphoma, Non-Hodgkin - drug therapy</topic><topic>Lymphoma, Non-Hodgkin - pathology</topic><topic>Male</topic><topic>Mandibular Neoplasms - complications</topic><topic>Mandibular Neoplasms - diagnostic imaging</topic><topic>Mandibular Neoplasms - drug therapy</topic><topic>Mandibular Neoplasms - pathology</topic><topic>Mandibular Nerve - diagnostic imaging</topic><topic>Middle Aged</topic><topic>Periodontitis - diagnosis</topic><topic>Prednisone - therapeutic use</topic><topic>Radiographic Magnification</topic><topic>Thermosensing</topic><topic>Tomography, X-Ray Computed</topic><topic>Vincristine - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Buric, N</creatorcontrib><creatorcontrib>Jovanovic, G</creatorcontrib><creatorcontrib>Radovanovic, Z</creatorcontrib><creatorcontrib>Buric, M</creatorcontrib><creatorcontrib>Tijanic, M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Dento-maxillo-facial radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Buric, N</au><au>Jovanovic, G</au><au>Radovanovic, Z</au><au>Buric, M</au><au>Tijanic, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radiographic enlargement of mandibular canal as first feature of non-Hodgkin's lymphoma</atitle><jtitle>Dento-maxillo-facial radiology</jtitle><addtitle>Dentomaxillofac Radiol</addtitle><date>2010-09</date><risdate>2010</risdate><volume>39</volume><issue>6</issue><spage>383</spage><epage>388</epage><pages>383-388</pages><issn>0250-832X</issn><eissn>1476-542X</eissn><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.</abstract><cop>England</cop><pub>The British Institute of Radiology</pub><pmid>20729189</pmid><doi>10.1259/dmfr/16059055</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals |
subjects | Antineoplastic Combined Chemotherapy Protocols - therapeutic use Case Report Cyclophosphamide - therapeutic use Diagnosis, Differential Doxorubicin - therapeutic use Humans Hypesthesia - etiology Ki-67 Antigen - analysis Lymphoma, Non-Hodgkin - complications Lymphoma, Non-Hodgkin - diagnostic imaging Lymphoma, Non-Hodgkin - drug therapy Lymphoma, Non-Hodgkin - pathology Male Mandibular Neoplasms - complications Mandibular Neoplasms - diagnostic imaging Mandibular Neoplasms - drug therapy Mandibular Neoplasms - pathology Mandibular Nerve - diagnostic imaging Middle Aged Periodontitis - diagnosis Prednisone - therapeutic use Radiographic Magnification Thermosensing Tomography, X-Ray Computed Vincristine - therapeutic use |
title | Radiographic enlargement of mandibular canal as first feature of non-Hodgkin's lymphoma |
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