Imaging characteristics of diffuse large cell extra nodal non-Hodgkin's lymphoma involving the palate and maxillary sinus: a case report
Identifieur interne : 001E41 ( Pmc/Checkpoint ); précédent : 001E40; suivant : 001E42Imaging characteristics of diffuse large cell extra nodal non-Hodgkin's lymphoma involving the palate and maxillary sinus: a case report
Auteurs : Lakshmi Kavitha Nadendla [Inde] ; Venkateswarlu Meduri [Inde] ; Geetha Paramkusam [Inde]Source :
- Imaging Science in Dentistry [ 2233-7822 ] ; 2012.
Abstract
Non-Hodgkin's lymphomas are a group of highly diverse malignancies and have a strong tendency to affect organs and tissues that do not ordinarily contain lymphoid cells. Primary extra nodal lymphoma of the hard palate is rare. Here, we present a case of diffuse large B cell lymphoma in a 60-year-old male patient that manifested as slightly painful ulcerated growth on the edentulous right maxillary alveolar ridge extending onto the palate, closely resembling carcinoma of the alveolar ridge. Computed tomography images showed the involvement of the maxillary sinus and right nasal cavity, along with destruction of hard palate, superiorly extending into the orbit. This case report highlights the importance of imaging to evaluate the exact extent of such large malignant lesions, which is essential for treatment planning.
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DOI: 10.5624/isd.2012.42.2.111
PubMed: 22783481
PubMed Central: 3389049
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sort="Nadendla, Lakshmi Kavitha" uniqKey="Nadendla L" first="Lakshmi Kavitha" last="Nadendla">Lakshmi Kavitha Nadendla</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Medicine and Radiology, Kamineni Institute of Dental Sciences, Nalgonda, India.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Inde</country><wicri:regionArea>Department of Oral and Medicine and Radiology, Kamineni Institute of Dental Sciences, Nalgonda</wicri:regionArea><wicri:noRegion>Nalgonda</wicri:noRegion></affiliation></author><author><name sortKey="Meduri, Venkateswarlu" sort="Meduri, Venkateswarlu" uniqKey="Meduri V" first="Venkateswarlu" last="Meduri">Venkateswarlu Meduri</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Medicine and Radiology, Kamineni Institute of Dental Sciences, Nalgonda, India.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Inde</country><wicri:regionArea>Department of Oral and Medicine and Radiology, Kamineni Institute of Dental Sciences, Nalgonda</wicri:regionArea><wicri:noRegion>Nalgonda</wicri:noRegion></affiliation></author><author><name sortKey="Paramkusam, Geetha" sort="Paramkusam, Geetha" uniqKey="Paramkusam G" first="Geetha" last="Paramkusam">Geetha Paramkusam</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Medicine and Radiology, Kamineni Institute of Dental Sciences, Nalgonda, India.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Inde</country><wicri:regionArea>Department of Oral and Medicine and Radiology, Kamineni Institute of Dental Sciences, Nalgonda</wicri:regionArea><wicri:noRegion>Nalgonda</wicri:noRegion></affiliation></author></analytic><series><title level="j">Imaging Science in Dentistry</title><idno type="ISSN">2233-7822</idno><idno type="eISSN">2233-7830</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Non-Hodgkin's lymphomas are a group of highly diverse malignancies and have a strong tendency to affect organs and tissues that do not ordinarily contain lymphoid cells. Primary extra nodal lymphoma of the hard palate is rare. Here, we present a case of diffuse large B cell lymphoma in a 60-year-old male patient that manifested as slightly painful ulcerated growth on the edentulous right maxillary alveolar ridge extending onto the palate, closely resembling carcinoma of the alveolar ridge. Computed tomography images showed the involvement of the maxillary sinus and right nasal cavity, along with destruction of hard palate, superiorly extending into the orbit. This case report highlights the importance of imaging to evaluate the exact extent of such large malignant lesions, which is essential for treatment planning.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jayakrishnan, R" uniqKey="Jayakrishnan R">R Jayakrishnan</name></author><author><name sortKey="Thomas, G" uniqKey="Thomas G">G Thomas</name></author><author><name sortKey="Kumar, A" uniqKey="Kumar A">A Kumar</name></author><author><name sortKey="Nair, R" uniqKey="Nair R">R Nair</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dalirsani, Z" uniqKey="Dalirsani Z">Z Dalirsani</name></author><author><name sortKey="Mohtasham, N" uniqKey="Mohtasham N">N Mohtasham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ueda, F" uniqKey="Ueda F">F Ueda</name></author><author><name sortKey="Suzuki, M" uniqKey="Suzuki M">M Suzuki</name></author><author><name sortKey="Matsui, O" uniqKey="Matsui O">O Matsui</name></author><author><name sortKey="Minato, H" uniqKey="Minato H">H Minato</name></author><author><name sortKey="Furukawa, M" uniqKey="Furukawa M">M Furukawa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Teh, Cs" uniqKey="Teh C">CS Teh</name></author><author><name sortKey="Chong, Sy" uniqKey="Chong S">SY Chong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Villa, A" uniqKey="Villa A">A Villa</name></author><author><name sortKey="Mariani, U" uniqKey="Mariani U">U Mariani</name></author><author><name sortKey="Villa, F" uniqKey="Villa F">F Villa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vaswani, B" uniqKey="Vaswani B">B Vaswani</name></author><author><name sortKey="Shah, M" uniqKey="Shah M">M Shah</name></author><author><name sortKey="Shah, Pm" uniqKey="Shah P">PM Shah</name></author><author><name sortKey="Parikh, Bj" uniqKey="Parikh B">BJ Parikh</name></author><author><name sortKey="Anand, As" uniqKey="Anand A">AS Anand</name></author><author><name sortKey="Sharma, G" uniqKey="Sharma G">G Sharma</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zagolski, O" uniqKey="Zagolski O">O Zagolski</name></author><author><name sortKey="Dwivedi, Rc" uniqKey="Dwivedi R">RC Dwivedi</name></author><author><name sortKey="Subramanian, S" uniqKey="Subramanian S">S Subramanian</name></author><author><name sortKey="Kazi, R" uniqKey="Kazi R">R Kazi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maheshwari, Gk" uniqKey="Maheshwari G">GK Maheshwari</name></author><author><name sortKey="Baboo, Ha" uniqKey="Baboo H">HA Baboo</name></author><author><name sortKey="Shah, Nm" uniqKey="Shah N">NM Shah</name></author><author><name sortKey="Patel, Mh" uniqKey="Patel M">MH Patel</name></author><author><name sortKey="Shah, R" uniqKey="Shah R">R Shah</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Essadi, I" uniqKey="Essadi I">I Essadi</name></author><author><name sortKey="Ismaili, N" uniqKey="Ismaili N">N Ismaili</name></author><author><name sortKey="Tazi, E" uniqKey="Tazi E">E Tazi</name></author><author><name sortKey="Elmajjaoui, S" uniqKey="Elmajjaoui S">S Elmajjaoui</name></author><author><name sortKey="Saidi, A" uniqKey="Saidi A">A Saidi</name></author><author><name sortKey="Ichou, M" uniqKey="Ichou M">M Ichou</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Park, Ym" uniqKey="Park Y">YM Park</name></author><author><name sortKey="Cho, Jh" uniqKey="Cho J">JH Cho</name></author><author><name sortKey="Cho, Jy" uniqKey="Cho J">JY Cho</name></author><author><name sortKey="Huh, Js" uniqKey="Huh J">JS Huh</name></author><author><name sortKey="Ahn, Jy" uniqKey="Ahn J">JY Ahn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Hakeem, Da" uniqKey="Al Hakeem D">DA Al-Hakeem</name></author><author><name sortKey="Fedele, S" uniqKey="Fedele S">S Fedele</name></author><author><name sortKey="Carlos, R" uniqKey="Carlos R">R Carlos</name></author><author><name sortKey="Porter, S" uniqKey="Porter S">S Porter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chalastras, T" uniqKey="Chalastras T">T Chalastras</name></author><author><name sortKey="Elefteriadou, A" uniqKey="Elefteriadou A">A Elefteriadou</name></author><author><name sortKey="Giotakis, J" uniqKey="Giotakis J">J Giotakis</name></author><author><name sortKey="Soulandikas, K" uniqKey="Soulandikas K">K Soulandikas</name></author><author><name sortKey="Korres, S" uniqKey="Korres S">S Korres</name></author><author><name sortKey="Ferekidis, E" uniqKey="Ferekidis E">E Ferekidis</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Imaging Sci Dent</journal-id><journal-id journal-id-type="iso-abbrev">Imaging Sci Dent</journal-id><journal-id journal-id-type="publisher-id">ISD</journal-id><journal-title-group><journal-title>Imaging Science in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2233-7822</issn><issn pub-type="epub">2233-7830</issn><publisher><publisher-name>Korean Academy of Oral and Maxillofacial Radiology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22783481</article-id><article-id pub-id-type="pmc">3389049</article-id><article-id pub-id-type="doi">10.5624/isd.2012.42.2.111</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Imaging characteristics of diffuse large cell extra nodal non-Hodgkin's lymphoma involving the palate and maxillary sinus: a case report</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Nadendla</surname><given-names>Lakshmi Kavitha</given-names></name><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author"><name><surname>Meduri</surname><given-names>Venkateswarlu</given-names></name><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author"><name><surname>Paramkusam</surname><given-names>Geetha</given-names></name><xref ref-type="aff" rid="A1"></xref></contrib></contrib-group><aff id="A1">Department of Oral and Medicine and Radiology, Kamineni Institute of Dental Sciences, Nalgonda, India.</aff><author-notes><corresp>Correspondence to: Dr. Lakshmi Kavitha Nadendla. Department of Oral and Medicine and Radiology, Kamineni Institute of Dental Sciences, Sreepuram, Narketpally, Nalgonda, Andhara Pradesh, India. Tel) 91-9949-678533, Fax) 91-8682-272296, <email>drkavitha_p@yahoo.co.in</email></corresp></author-notes><pub-date pub-type="ppub"><month>6</month><year>2012</year></pub-date><pub-date pub-type="epub"><day>25</day><month>6</month><year>2012</year></pub-date><volume>42</volume><issue>2</issue><fpage>111</fpage><lpage>114</lpage><history><date date-type="received"><day>09</day><month>1</month><year>2012</year></date><date date-type="rev-recd"><day>06</day><month>2</month><year>2012</year></date><date date-type="accepted"><day>09</day><month>3</month><year>2012</year></date></history><permissions><copyright-statement>Copyright © 2012 by Korean Academy of Oral and Maxillofacial Radiology</copyright-statement><copyright-year>2012</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">http://creativecommons.org/licenses/by-nc/3.0</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Non-Hodgkin's lymphomas are a group of highly diverse malignancies and have a strong tendency to affect organs and tissues that do not ordinarily contain lymphoid cells. Primary extra nodal lymphoma of the hard palate is rare. Here, we present a case of diffuse large B cell lymphoma in a 60-year-old male patient that manifested as slightly painful ulcerated growth on the edentulous right maxillary alveolar ridge extending onto the palate, closely resembling carcinoma of the alveolar ridge. Computed tomography images showed the involvement of the maxillary sinus and right nasal cavity, along with destruction of hard palate, superiorly extending into the orbit. This case report highlights the importance of imaging to evaluate the exact extent of such large malignant lesions, which is essential for treatment planning.</p></abstract><kwd-group><kwd>Lymphoma, Non-Hodgkin</kwd><kwd>Palate</kwd><kwd>Maxillary Sinus</kwd><kwd>Lymphoma, Large B-Cell, Diffuse</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" position="float"><label>Fig. 1</label><caption><p>Mild diffuse swelling on the right cheek and proptosis of the right eye is seen.</p></caption><graphic xlink:href="isd-42-111-g001"></graphic></fig><fig id="F2" position="float"><label>Fig. 2</label><caption><p>Intraoral photograph shows an ulcerative growth in the right maxillary alveolar ridge extending on to the palate.</p></caption><graphic xlink:href="isd-42-111-g002"></graphic></fig><fig id="F3" position="float"><label>Fig. 3</label><caption><p>Coronal CT image shows a large soft tissue density lesion with destruction of all walls of the right maxillary sinus, hard palate, and extension into the nasal cavity.</p></caption><graphic xlink:href="isd-42-111-g003"></graphic></fig><fig id="F4" position="float"><label>Fig. 4</label><caption><p>Three-dimensional CT reconstruction image (bone setting) shows destruction of the maxilla, hard palate, and maxillary alveolar ridge on the right side.</p></caption><graphic xlink:href="isd-42-111-g004"></graphic></fig><fig id="F5" position="float"><label>Fig. 5</label><caption><p>Three-dimensional CT reconstruction image (soft tissue setting) shows facial asymmetry due to the swelling and proptosis of the eye on the right side.</p></caption><graphic xlink:href="isd-42-111-g005"></graphic></fig><fig id="F6" position="float"><label>Fig. 6</label><caption><p>Histopathological examination shows connective tissue stroma made up of predominantly large lymphocytes, few small cells, and scattered foamy macrophages (H&E stain, ×400).</p></caption><graphic xlink:href="isd-42-111-g006"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Nadendla, Lakshmi Kavitha" sort="Nadendla, Lakshmi Kavitha" uniqKey="Nadendla L" first="Lakshmi Kavitha" last="Nadendla">Lakshmi Kavitha Nadendla</name></noRegion><name sortKey="Meduri, Venkateswarlu" sort="Meduri, Venkateswarlu" uniqKey="Meduri V" first="Venkateswarlu" last="Meduri">Venkateswarlu Meduri</name><name sortKey="Paramkusam, Geetha" sort="Paramkusam, Geetha" uniqKey="Paramkusam G" first="Geetha" last="Paramkusam">Geetha Paramkusam</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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