The Alfred Hospital, Prahran, Victoria.
Aust Dent J. 2011 Sep;56(3):328-30. doi: 10.1111/j.1834-7819.2011.01348.x. Epub 2011 Aug 11.
Oral plasmablastic lymphoma is a rare malignancy that is associated with patients with HIV or other immunosuppression. This article describes a case of a patient with severe haemophilia A (<1% factor VIII) who had medically acquired HIV and hepatitis C, a CD4+ count of 192 cells/μL and a viral load of 33 200 copies/mL. The patient presented with a two-month history of a firm swelling around a lower molar. The tooth was removed and the surrounding tissue biopsied. The importance of obtaining an early definitive diagnosis and seeking adequate medical treatment is discussed.
口腔黏膜浆细胞瘤是一种罕见的恶性肿瘤,与 HIV 或其他免疫抑制患者有关。本文描述了一例患有严重血友病 A(<1%VIII 因子)的患者,该患者感染了医源性 HIV 和丙型肝炎,CD4+计数为 192 个/μL,病毒载量为 33200 拷贝/mL。患者出现了两个月的下颚磨牙周围硬块的病史。拔除了该牙齿并对周围组织进行了活检。讨论了获得早期明确诊断和寻求适当治疗的重要性。