Nadendla Lakshmi Kavitha, Meduri Venkateswarlu, Paramkusam Geetha
Department of Oral and Medicine and Radiology, Kamineni Institute of Dental Sciences, Nalgonda, India.
Imaging Sci Dent. 2012 Jun;42(2):111-4. doi: 10.5624/isd.2012.42.2.111. Epub 2012 Jun 25.
Non-Hodgkin's lymphomas are a group of highly diverse malignancies and have a strong tendency to affect organs and tissues that do not ordinarily contain lymphoid cells. Primary extra nodal lymphoma of the hard palate is rare. Here, we present a case of diffuse large B cell lymphoma in a 60-year-old male patient that manifested as slightly painful ulcerated growth on the edentulous right maxillary alveolar ridge extending onto the palate, closely resembling carcinoma of the alveolar ridge. Computed tomography images showed the involvement of the maxillary sinus and right nasal cavity, along with destruction of hard palate, superiorly extending into the orbit. This case report highlights the importance of imaging to evaluate the exact extent of such large malignant lesions, which is essential for treatment planning.
非霍奇金淋巴瘤是一组高度异质性的恶性肿瘤,并且有强烈的倾向累及通常不含淋巴样细胞的器官和组织。硬腭原发性结外淋巴瘤很罕见。在此,我们报告一例60岁男性患者的弥漫性大B细胞淋巴瘤,表现为无牙的右上颌牙槽嵴上有轻度疼痛的溃疡性肿物,延伸至腭部,酷似牙槽嵴癌。计算机断层扫描图像显示上颌窦和右侧鼻腔受累,同时硬腭破坏,向上延伸至眼眶。本病例报告强调了影像学对于评估此类大的恶性病变确切范围的重要性,这对于治疗计划至关重要。