Parihar Sameer, Garg Rajeev K, Narain Pooja
Department of Oral and Maxillofacial Surgery and Implantology, Rajasthan Dental College and Hospital, Jaipur, Rajasthan, India.
J Oral Maxillofac Pathol. 2013 May;17(2):320. doi: 10.4103/0973-029X.119773.
Primary non-Hodgkin's lymphoma (NHL) is a rare entity. When it does occur, mandibular NHL typically manifests similar to an odontogenic pathology. This results in delayed diagnosis and treatment. We present a 50-year-old female who was erroneously treated for a pyogenic granuloma several months before the correct diagnosis of extranodal primary NHL of the oral cavity was made. Fortunately, the solitary bony lymphoma had not disseminated and management by chemo-radiation allowed for disease eradication and new post-treatment bone formation. The purpose of this report is to describe a rare case of primary NHL of the mandible, explore the diagnosis and work-up and discuss treatment strategies. This case illustrates the need for co-operative diagnostic referrals between physicians and dentists.
原发性非霍奇金淋巴瘤（NHL）是一种罕见的疾病。当它确实发生时，下颌骨NHL通常表现得类似于牙源性病变。这导致诊断和治疗延迟。我们报告一名50岁女性，在正确诊断为口腔结外原发性NHL之前数月，她被误诊为化脓性肉芽肿并接受了错误治疗。幸运的是，孤立性骨淋巴瘤尚未扩散，通过放化疗进行治疗得以根除疾病并促进治疗后新骨形成。本报告的目的是描述一例罕见的下颌骨原发性NHL病例，探讨其诊断和检查方法，并讨论治疗策略。该病例说明了医生和牙医之间进行合作诊断转诊的必要性。
