Agrawal M G, Agrawal S M, Kambalimath Deepashri H
Department of Oral and Maxillofacial Surgery, Modern Dental College and Research Center, Indore, India.
Natl J Maxillofac Surg. 2011 Jul;2(2):210-3. doi: 10.4103/0975-5950.94485.
Non-Hodgkin's lymphomas are a group of neoplasms that originate from the cells of the lymphoreticular system. Forty percent of non-Hodgkin's lymphomas arise from extra nodal sites. Non-Hodgkin's lymphomas detected primarily in the bone are quite rare, but among jaw lesions, they are more frequently present in the maxilla than in the mandible. There are no classical characteristic clinical features of lymphomas involving the jaw bones. Swelling, ulcer or discomfort may be present in the region of the lymphoma, or it may mimic a periapical pathology or a benign condition. Extranodal non-Hodgkins lymphoma of the maxilla could present as one of the early manifestation of detrimental diseases. Clinically these types of lymphoma can mimic an inflammatory endo-periodontal lesion with symptoms of pain and local discomfort. The greater the delay in diagnosis subsequently worsens the prognosis. A case of maxillary non-Hodgkin's lymphoma with an unusual presentation is discussed.
非霍奇金淋巴瘤是一组起源于淋巴网状系统细胞的肿瘤。40%的非霍奇金淋巴瘤起源于结外部位。主要在骨骼中检测到的非霍奇金淋巴瘤非常罕见,但在颌骨病变中,它们在上颌比在下颌更常见。累及颌骨的淋巴瘤没有典型的特征性临床症状。淋巴瘤区域可能出现肿胀、溃疡或不适,也可能类似根尖周病变或良性疾病。上颌结外非霍奇金淋巴瘤可能是有害疾病的早期表现之一。临床上,这些类型的淋巴瘤可表现为炎性牙髓牙周病变,伴有疼痛和局部不适症状。诊断延迟越久,预后越差。本文讨论了一例表现不寻常的上颌非霍奇金淋巴瘤病例。