Colmenero C, Gamallo C, Pintado V, Patron M, Sierra I, Valencia E
Department of Maxillofacial Surgery, La Paz General Hospital, Universidad Autónoma, Madrid, Spain.
Int J Oral Maxillofac Surg. 1991 Feb;20(1):2-6. doi: 10.1016/s0901-5027(05)80684-8.
Six new cases of non-Hodgkin's lymphoma (NHL), primarily located in the oral cavity, in patients infected by the human immunodeficiency virus (HIV), are presented. They all had a voluminous fungous tumoral mass, that extended from the gingiva to the buccal vestibule or palate. All were intravenous drug abusers. The diagnosis of AIDS was known in one patient, 2 patients presented with AIDS-related complex symptomatology, and in 3 cases NHL was the first manifestation of the HIV infection. All presented advanced stages (IV). Histologically, all were considered high grade NHL. It is recommended to determine the HIV status in all young patients affected with oral NHL. All intraoral lesions in AIDS patients or in patients that belong to a risk group should have a biopsy to rule out NHL or any other manifestations of AIDS.
本文报告了6例主要位于口腔的非霍奇金淋巴瘤(NHL)新病例,这些患者均感染了人类免疫缺陷病毒(HIV)。他们都有巨大的真菌性肿瘤块,从牙龈延伸至颊前庭或腭部。所有患者均为静脉吸毒者。其中1例患者已知患有艾滋病,2例患者表现出与艾滋病相关的复杂症状,3例患者中NHL是HIV感染的首发表现。所有患者均处于晚期(IV期)。组织学上,所有病例均被认为是高级别NHL。建议对所有患有口腔NHL的年轻患者进行HIV状态检测。艾滋病患者或属于高危人群的患者的所有口腔病变均应进行活检,以排除NHL或艾滋病的任何其他表现。