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拯救生命的伯基特淋巴瘤早期诊断:牙医的作用。

A Life-Saving Early Diagnosis of Burkitt Lymphoma: The Role of a Dentist.

机构信息

Department of Oral and Maxillofacial Surgery.

Department Oral and Maxillofacial Radiology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, South Korea.

出版信息

J Craniofac Surg. 2022 May 1;33(3):e326-e329. doi: 10.1097/SCS.0000000000008220. Epub 2021 Sep 22.

Abstract

Burkitt lymphoma (BL) is a subtype of Non-Hodgkin lymphoma, considered one of the fastest growing human tumors. Due to the highly aggressive nature of BL, a prompt diagnosis and aggressive chemotherapeutic treatment are essential. However, the clinical features of BL often can mimic periodontal disease or dentoalveolar abscess. The aim of this study is to present a case of a 31-year-old male patient who was referred to the department of oral and maxillofacial surgery for severe neurosensory disturbance and pain in the lower jaw. He was misdiagnosed with periodontitis and dental abscess at the local clinic. Based on radiographic findings, he was suspected of hematopoietic malignancy. He was referred to the department of hemato-oncology and diagnosed with BL. This case highlights the essential life-saving role of a maxillofacial surgeon in the early diagnosis of a rare malignancy.

摘要

伯基特淋巴瘤(BL)是一种非霍奇金淋巴瘤,被认为是人类生长最快的肿瘤之一。由于 BL 的高度侵袭性,及时诊断和积极的化疗治疗至关重要。然而,BL 的临床特征常常可能类似于牙周病或牙槽脓肿。本研究旨在介绍一名 31 岁男性患者的病例,该患者因下颌严重神经感觉障碍和疼痛而被转至口腔颌面外科。他在当地诊所被误诊为牙周炎和牙槽脓肿。根据影像学发现,他被怀疑患有血液恶性肿瘤。他被转至血液肿瘤科,被诊断为 BL。本病例强调了口腔颌面外科医生在早期诊断罕见恶性肿瘤方面的至关重要的救生作用。

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