Raubenheimer E J, Lello G E, Dauth J, Fayman M S, Dvornak N, Senekal J C
Department of Oral Pathology, Medical University of Southern Africa, Medunsa.
Int J Oral Maxillofac Surg. 1988 Dec;17(6):382-5. doi: 10.1016/s0901-5027(88)80068-7.
Myelomatous involvement of the maxilla is an exceptionally rare occurrence, and the presentation of the lesion as an expansile jaw bone tumour has not been reported. 2 cases, one with a maxillary lesion, the other with a mandibular lesion are presented, both of which illustrate gross bone expansions. Additionally, 1 case presented with a rare biclonal IgG kappa and IgG lambda light chain secreting myeloma. Relevant clinical, immunological, histological, biochemical and histochemical features are presented and discussed, and suggestions pertaining to surgical management made.
上颌骨的骨髓瘤累及极为罕见,且该病变表现为颌骨膨胀性肿瘤的情况尚未见报道。本文报告2例,1例为上颌骨病变,另1例为下颌骨病变,二者均显示有明显的骨质膨胀。此外,1例表现为罕见的双克隆IgG κ和IgG λ轻链分泌型骨髓瘤。文中展示并讨论了相关的临床、免疫、组织学、生化及组织化学特征,并提出了有关手术治疗的建议。