Gingival fine needle aspiration cytology in acute leukemia
Identifieur interne : 000617 ( PascalFrancis/Checkpoint ); précédent : 000616; suivant : 000618Gingival fine needle aspiration cytology in acute leukemia
Auteurs : Bashar H. Abdullah [Iraq] ; Hassan I. Yahya [Iraq] ; Raja K. Kummoona [Iraq] ; Ferial A. Hilmi [Iraq] ; Khalid B. Mirza [Iraq]Source :
- Journal of oral pathology & medicine [ 0904-2512 ] ; 2002.
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Abstract
Background: Oral findings in acute leukemia (AL) are common and could be the presenting feature of the disease, namely, gingival enlargement, ulceration, bleeding, and infection. Gingival enlargement in AL is either due to leukemic infiltration, or due to reactive hyperplasia. To differentiate between them a biopsy is required, but being highly contraindicated, biopsy has been substituted in this study by fine needle aspiration cytology (FNAC). Method: Gingival FNAC was performed on different sites in the upper and lower gingiva. Each site represents an interdental papilla, which was selected according to the clinical presentation, i.e., being enlarged or not. Seventy-two adult AL patients received a cytological and clinical examination in this study, and the cases were classified and categorized according to the French-American-British (FAB) criteria. Results: Twenty-one cases were diagnosed as being infiltrated, 16 with gingival enlargement, 4 with no evidence of enlargement. In one case the infiltration affected the alveolar mucosa of an edentulous patient. In six cases the ginigva was enlarged without being infiltrated (reactive hyperplasia). Leukemic gingival enlargement was seen mostly in patients with acute myeloid leukemia, particularly M4 and M5 subtypes; however, two patients with acute mixed lineage leukemia (AMLL) were both affected with leukemic infiltration. Conclusion: FNAC was shown to be a simple, non-traumatic and useful diagnostic procedure for screening leukemic infiltration in gingival tissues in AL patients.
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Yahya</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Medicine, College of Medicine, University of Baghdad</s1><s3>IRQ</s3><sZ>2 aut.</sZ></inist:fA14><country>Iraq</country><wicri:noRegion>Department of Medicine, College of Medicine, University of Baghdad</wicri:noRegion></affiliation></author><author><name sortKey="Kummoona, Raja K" sort="Kummoona, Raja K" uniqKey="Kummoona R" first="Raja K." last="Kummoona">Raja K. Kummoona</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Oral and Maxillofacial surgery, College of Dentistry, University of Baghdad</s1><s3>IRQ</s3><sZ>3 aut.</sZ></inist:fA14><country>Iraq</country><wicri:noRegion>Department of Oral and Maxillofacial surgery, College of Dentistry, University of Baghdad</wicri:noRegion></affiliation></author><author><name sortKey="Hilmi, Ferial A" sort="Hilmi, Ferial A" uniqKey="Hilmi F" first="Ferial A." last="Hilmi">Ferial A. Hilmi</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Pathology (Hematology), College of Medicine, University of Baghdad</s1><s3>IRQ</s3><sZ>4 aut.</sZ></inist:fA14><country>Iraq</country><wicri:noRegion>Department of Pathology (Hematology), College of Medicine, University of Baghdad</wicri:noRegion></affiliation></author><author><name sortKey="Mirza, Khalid B" sort="Mirza, Khalid B" uniqKey="Mirza K" first="Khalid B." last="Mirza">Khalid B. Mirza</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Department of Periodontology, College of Dentistry, University of Baghdad</s1><s3>IRQ</s3><sZ>5 aut.</sZ></inist:fA14><country>Iraq</country><wicri:noRegion>Department of Periodontology, College of Dentistry, University of Baghdad</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">02-0240009</idno><date when="2002">2002</date><idno type="stanalyst">PASCAL 02-0240009 INIST</idno><idno type="RBID">Pascal:02-0240009</idno><idno type="wicri:Area/PascalFrancis/Corpus">000623</idno><idno type="wicri:Area/PascalFrancis/Curation">000081</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000617</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000617</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Gingival fine needle aspiration cytology in acute leukemia</title><author><name sortKey="Abdullah, Bashar H" sort="Abdullah, Bashar H" uniqKey="Abdullah B" first="Bashar H." last="Abdullah">Bashar H. Abdullah</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral Diagnosis, College of Dentistry, University of Baghdad</s1><s3>IRQ</s3><sZ>1 aut.</sZ></inist:fA14><country>Iraq</country><wicri:noRegion>Department of Oral Diagnosis, College of Dentistry, University of Baghdad</wicri:noRegion></affiliation></author><author><name sortKey="Yahya, Hassan I" sort="Yahya, Hassan I" uniqKey="Yahya H" first="Hassan I." last="Yahya">Hassan I. Yahya</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Medicine, College of Medicine, University of Baghdad</s1><s3>IRQ</s3><sZ>2 aut.</sZ></inist:fA14><country>Iraq</country><wicri:noRegion>Department of Medicine, College of Medicine, University of Baghdad</wicri:noRegion></affiliation></author><author><name sortKey="Kummoona, Raja K" sort="Kummoona, Raja K" uniqKey="Kummoona R" first="Raja K." last="Kummoona">Raja K. Kummoona</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Oral and Maxillofacial surgery, College of Dentistry, University of Baghdad</s1><s3>IRQ</s3><sZ>3 aut.</sZ></inist:fA14><country>Iraq</country><wicri:noRegion>Department of Oral and Maxillofacial surgery, College of Dentistry, University of Baghdad</wicri:noRegion></affiliation></author><author><name sortKey="Hilmi, Ferial A" sort="Hilmi, Ferial A" uniqKey="Hilmi F" first="Ferial A." last="Hilmi">Ferial A. Hilmi</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Pathology (Hematology), College of Medicine, University of Baghdad</s1><s3>IRQ</s3><sZ>4 aut.</sZ></inist:fA14><country>Iraq</country><wicri:noRegion>Department of Pathology (Hematology), College of Medicine, University of Baghdad</wicri:noRegion></affiliation></author><author><name sortKey="Mirza, Khalid B" sort="Mirza, Khalid B" uniqKey="Mirza K" first="Khalid B." last="Mirza">Khalid B. Mirza</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Department of Periodontology, College of Dentistry, University of Baghdad</s1><s3>IRQ</s3><sZ>5 aut.</sZ></inist:fA14><country>Iraq</country><wicri:noRegion>Department of Periodontology, College of Dentistry, University of Baghdad</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Journal of oral pathology & medicine</title><title level="j" type="abbreviated">J. oral pathol. med.</title><idno type="ISSN">0904-2512</idno><imprint><date when="2002">2002</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of oral pathology & medicine</title><title level="j" type="abbreviated">J. oral pathol. med.</title><idno type="ISSN">0904-2512</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute</term><term>Adult</term><term>Case study</term><term>Cytopathology</term><term>Diagnosis</term><term>Fine needle aspiration biopsy</term><term>Gingiva</term><term>Leukemia</term><term>Pathology</term><term>Tumorous infiltration</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Leucémie</term><term>Aigu</term><term>Infiltration tumorale</term><term>Gencive</term><term>Anatomopathologie</term><term>Cytopathologie</term><term>Cytoponction</term><term>Etude cas</term><term>Diagnostic</term><term>Adulte</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Oral findings in acute leukemia (AL) are common and could be the presenting feature of the disease, namely, gingival enlargement, ulceration, bleeding, and infection. Gingival enlargement in AL is either due to leukemic infiltration, or due to reactive hyperplasia. To differentiate between them a biopsy is required, but being highly contraindicated, biopsy has been substituted in this study by fine needle aspiration cytology (FNAC). Method: Gingival FNAC was performed on different sites in the upper and lower gingiva. Each site represents an interdental papilla, which was selected according to the clinical presentation, i.e., being enlarged or not. Seventy-two adult AL patients received a cytological and clinical examination in this study, and the cases were classified and categorized according to the French-American-British (FAB) criteria. Results: Twenty-one cases were diagnosed as being infiltrated, 16 with gingival enlargement, 4 with no evidence of enlargement. In one case the infiltration affected the alveolar mucosa of an edentulous patient. In six cases the ginigva was enlarged without being infiltrated (reactive hyperplasia). Leukemic gingival enlargement was seen mostly in patients with acute myeloid leukemia, particularly M4 and M5 subtypes; however, two patients with acute mixed lineage leukemia (AMLL) were both affected with leukemic infiltration. Conclusion: FNAC was shown to be a simple, non-traumatic and useful diagnostic procedure for screening leukemic infiltration in gingival tissues in AL patients.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0904-2512</s0></fA01><fA03 i2="1"><s0>J. oral pathol. med.</s0></fA03><fA05><s2>31</s2></fA05><fA06><s2>1</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Gingival fine needle aspiration cytology in acute leukemia</s1></fA08><fA11 i1="01" i2="1"><s1>ABDULLAH (Bashar H.)</s1></fA11><fA11 i1="02" i2="1"><s1>YAHYA (Hassan I.)</s1></fA11><fA11 i1="03" i2="1"><s1>KUMMOONA (Raja K.)</s1></fA11><fA11 i1="04" i2="1"><s1>HILMI (Ferial A.)</s1></fA11><fA11 i1="05" i2="1"><s1>MIRZA (Khalid B.)</s1></fA11><fA14 i1="01"><s1>Department of Oral Diagnosis, College of Dentistry, University of Baghdad</s1><s3>IRQ</s3><sZ>1 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Medicine, College of Medicine, University of Baghdad</s1><s3>IRQ</s3><sZ>2 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Oral and Maxillofacial surgery, College of Dentistry, University of Baghdad</s1><s3>IRQ</s3><sZ>3 aut.</sZ></fA14><fA14 i1="04"><s1>Department of Pathology (Hematology), College of Medicine, University of Baghdad</s1><s3>IRQ</s3><sZ>4 aut.</sZ></fA14><fA14 i1="05"><s1>Department of Periodontology, College of Dentistry, University of Baghdad</s1><s3>IRQ</s3><sZ>5 aut.</sZ></fA14><fA20><s1>55-58</s1></fA20><fA21><s1>2002</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>15681</s2><s5>354000100874850090</s5></fA43><fA44><s0>0000</s0><s1>© 2002 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>17 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>02-0240009</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Journal of oral pathology & medicine</s0></fA64><fA66 i1="01"><s0>DNK</s0></fA66><fC01 i1="01" l="ENG"><s0>Background: Oral findings in acute leukemia (AL) are common and could be the presenting feature of the disease, namely, gingival enlargement, ulceration, bleeding, and infection. Gingival enlargement in AL is either due to leukemic infiltration, or due to reactive hyperplasia. To differentiate between them a biopsy is required, but being highly contraindicated, biopsy has been substituted in this study by fine needle aspiration cytology (FNAC). Method: Gingival FNAC was performed on different sites in the upper and lower gingiva. Each site represents an interdental papilla, which was selected according to the clinical presentation, i.e., being enlarged or not. Seventy-two adult AL patients received a cytological and clinical examination in this study, and the cases were classified and categorized according to the French-American-British (FAB) criteria. Results: Twenty-one cases were diagnosed as being infiltrated, 16 with gingival enlargement, 4 with no evidence of enlargement. In one case the infiltration affected the alveolar mucosa of an edentulous patient. In six cases the ginigva was enlarged without being infiltrated (reactive hyperplasia). Leukemic gingival enlargement was seen mostly in patients with acute myeloid leukemia, particularly M4 and M5 subtypes; however, two patients with acute mixed lineage leukemia (AMLL) were both affected with leukemic infiltration. 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Abdullah</name></noRegion><name sortKey="Hilmi, Ferial A" sort="Hilmi, Ferial A" uniqKey="Hilmi F" first="Ferial A." last="Hilmi">Ferial A. Hilmi</name><name sortKey="Kummoona, Raja K" sort="Kummoona, Raja K" uniqKey="Kummoona R" first="Raja K." last="Kummoona">Raja K. Kummoona</name><name sortKey="Mirza, Khalid B" sort="Mirza, Khalid B" uniqKey="Mirza K" first="Khalid B." last="Mirza">Khalid B. Mirza</name><name sortKey="Yahya, Hassan I" sort="Yahya, Hassan I" uniqKey="Yahya H" first="Hassan I." last="Yahya">Hassan I. Yahya</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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