Neerupakam Mahesh, Prakash Jacob, Koduri Sridevi, Vishnubhatla Thejasri
Department of Oral Medicine and Radiology, Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India.
Department of Oral Maxillofacial Pathology, Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India.
Contemp Clin Dent. 2018 Jan-Mar;9(1):110-113. doi: 10.4103/ccd.ccd_543_17.
Non-Hodgkin's lymphoma (NHL) is a lymphatic system tumor originating from either B or T lymphocytes and shows a high malignant potential. In HIV-seropositive patients, NHL of head and neck is mainly found in Waldeyer's ring, oral mucosa, salivary glands, paranasal sinuses, and laryngeal tissue. Primary NHL rarely affects the bone. When the lesion affects the bones of the jaws, it is rare in the mandible when compared to the maxilla. In the reported cases, only 0.6% are found in the mandible. NHL of the mandible can be difficult to diagnose, and so the prime aim of the present case report is to establish appropriate diagnosis of one of such kinds. Clinically, they may imitate a dental infection with symptoms of pain and discomfort. A delay in diagnosis may lead to a poor prognosis. Herewith, we present a case of NHL on the lower-right mandible in a 40-year-old male. A correlation of clinical findings, radiological examination, and histopathological examination enabled us in early diagnosis and differentiating it from other similar conditions, thus aiding in initiation of prompt treatment.
非霍奇金淋巴瘤(NHL)是一种起源于B淋巴细胞或T淋巴细胞的淋巴系统肿瘤,具有较高的恶性潜能。在HIV血清阳性患者中,头颈部NHL主要见于瓦尔代尔环、口腔黏膜、唾液腺、鼻窦和喉部组织。原发性NHL很少累及骨骼。当病变累及颌骨时,与上颌骨相比,下颌骨受累较少见。在已报道的病例中,仅0.6%见于下颌骨。下颌骨NHL可能难以诊断,因此本病例报告的主要目的是对其中一例进行准确诊断。临床上,它们可能表现出类似牙齿感染的疼痛和不适症状。诊断延迟可能导致预后不良。在此,我们报告一例40岁男性右下下颌骨NHL病例。临床检查、影像学检查和组织病理学检查相结合,使我们能够早期诊断并将其与其他类似疾病相鉴别,从而有助于及时开始治疗。