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
Hauptverfasser: Buric, N, Jovanovic, G, Radovanovic, Z, Buric, M, Tijanic, M
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container_issue 6
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container_title Dento-maxillo-facial radiology
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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.
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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. 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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.</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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