Links to Exploration step
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Imaging characteristics of diffuse large cell extra nodal non-Hodgkin's lymphoma involving the palate and maxillary sinus: a case report</title><author><name sortKey="Nadendla, Lakshmi Kavitha" sort="Nadendla, Lakshmi Kavitha" uniqKey="Nadendla L" first="Lakshmi Kavitha" last="Nadendla">Lakshmi Kavitha Nadendla</name><affiliation><nlm:aff id="A1">Department of Oral and Medicine and Radiology, Kamineni Institute of Dental Sciences, Nalgonda, India.</nlm:aff></affiliation></author><author><name sortKey="Meduri, Venkateswarlu" sort="Meduri, Venkateswarlu" uniqKey="Meduri V" first="Venkateswarlu" last="Meduri">Venkateswarlu Meduri</name><affiliation><nlm:aff id="A1">Department of Oral and Medicine and Radiology, Kamineni Institute of Dental Sciences, Nalgonda, India.</nlm:aff></affiliation></author><author><name sortKey="Paramkusam, Geetha" sort="Paramkusam, Geetha" uniqKey="Paramkusam G" first="Geetha" last="Paramkusam">Geetha Paramkusam</name><affiliation><nlm:aff id="A1">Department of Oral and Medicine and Radiology, Kamineni Institute of Dental Sciences, Nalgonda, India.</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22783481</idno><idno type="pmc">3389049</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3389049</idno><idno type="RBID">PMC:3389049</idno><idno type="doi">10.5624/isd.2012.42.2.111</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">001C81</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001C81</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Imaging characteristics of diffuse large cell extra nodal non-Hodgkin's lymphoma involving the palate and maxillary sinus: a case report</title><author><name sortKey="Nadendla, Lakshmi Kavitha" sort="Nadendla, Lakshmi Kavitha" uniqKey="Nadendla L" first="Lakshmi Kavitha" last="Nadendla">Lakshmi Kavitha Nadendla</name><affiliation><nlm:aff id="A1">Department of Oral and Medicine and Radiology, Kamineni Institute of Dental Sciences, Nalgonda, India.</nlm:aff></affiliation></author><author><name sortKey="Meduri, Venkateswarlu" sort="Meduri, Venkateswarlu" uniqKey="Meduri V" first="Venkateswarlu" last="Meduri">Venkateswarlu Meduri</name><affiliation><nlm:aff id="A1">Department of Oral and Medicine and Radiology, Kamineni Institute of Dental Sciences, Nalgonda, India.</nlm:aff></affiliation></author><author><name sortKey="Paramkusam, Geetha" sort="Paramkusam, Geetha" uniqKey="Paramkusam G" first="Geetha" last="Paramkusam">Geetha Paramkusam</name><affiliation><nlm:aff id="A1">Department of Oral and Medicine and Radiology, Kamineni Institute of Dental Sciences, Nalgonda, India.</nlm:aff></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><body><p>Malignant lymphoma is the generic term given to tumors of the lymphoid system. This lesion can involve the lymph nodes, spleen, and sometimes the non-hematopoietic tissues. This tumor can be divided into two major categories: Hodgkin's lymphoma and non-Hodgkin's lymphoma (NHL). NHL is a heterogeneous group of malignancies characterized by an abnormal clonal proliferation of T cells, B cells, or both. The majority of the adult NHLs are of B cell origin.<xref ref-type="bibr" rid="B1">1</xref> Palatal and nasal lymphomas are rare, and the majority of the lymphomas in this region originate from B cells. Since early detection of hard palate tumors is difficult by clinical examination, the vast majority of such tumors are detected after maxillary or sphenoid bone invasion.<xref ref-type="bibr" rid="B2">2</xref> The present report showed a case of B cell lymphoma in a 60-year-old male patient manifested as an ulcerative growth on the right maxillary alveolar ridge extending on to the hard palate, but on imaging it was an extensive lesion involving maxillary sinus, nasal cavity, and orbit.</p><sec><title>Case Report</title><p>A 60-year-old man visited the Oral Medicine and Radiology Department, complaining of a mild intermittent pain associated with sudden ulcerated growth on the right maxillary edentulous alveolar ridge since 1 month earlier. The patient gave a history of extraction of teeth in the same region one year before. On examination, a diffuse mild extra oral swelling was present on the right cheek, with proptosis and watery discharge from the right eye (<xref ref-type="fig" rid="F1">Fig. 1</xref>). On palpation, extraorally the swelling was mildly tender and discontinuity was felt on the right infra orbital margin. Intraoral examination revealed a soft well defined ulcerated growth on the right maxillary edentulous alveolar ridge, extending from the right maxillary first molar region to the maxillary tuberosity region posteriorly. The surface of the growth was covered with a yellowish necrotic material. It was slightly tender on palpation (<xref ref-type="fig" rid="F2">Fig. 2</xref>).</p><p>The clinical differential diagnosis included the most common malignancies in the oral cavity such as squamous cell carcinoma (SCC), minor salivary gland tumor, and carcinoma of the maxillary sinus. Panoramic radiograph revealed severe bone destruction of the right maxilla distal to the canine. The floor of the right maxillary sinus was also destroyed. Computed tomography (CT) scan was performed and sections were taken in the axial, coronal, and sagittal planes. Coronal section revealed a large soft tissue density lesion with its epicentre in the maxillary sinus, causing destruction of all walls of the maxillary sinus, extending medially into the lateral wall of the nasal septum, left nasal cavity involving the inferior and middle turbinates, laterally into the pterygopalatine fossa, superiorly into the orbit, inferiorly causing destruction of the hard palate and alveolar processes of the right maxilla in the molar region. There was no evidence of calcification (<xref ref-type="fig" rid="F3">Fig. 3</xref>). Three dimensional CT reconstructions using the bone and soft tissue settings demonstrated a large lytic lesion in the right maxillary sinus destroying all walls of the maxillary sinus, hard palate, and alveolar process in the molar region (<xref ref-type="fig" rid="F4">Figs. 4</xref> and <xref ref-type="fig" rid="F5">5</xref>).</p><p>The patient was advised to undergo routine haematological examination, and an incisional biopsy was performed which revealed a cellular connective tissue stroma predominantly made up of lymphocytes, the majority being large cells and a few small cells showing vesicular nuclei with prominent nucleoli. Scattering foamy macrophages were seen amongst these cells. It was finally diagnosed as diffuse large cell lymphoma (<xref ref-type="fig" rid="F6">Fig. 6</xref>). The patient was referred to the oncology department, who started chemotherapy; unfortunately, the patient passed away after two cycles of chemotherapy.</p></sec><sec sec-type="discussion"><title>Discussion</title><p>Malignant lymphoma can appear in all parts of the body, and may have varied radiographic manifestations.<xref ref-type="bibr" rid="B3">3</xref> 24-84% of NHLs arise from extra nodal sites. The head and neck is the second most common region for extra nodal lymphoma after the gastro intestinal tract.<xref ref-type="bibr" rid="B4">4</xref> NHL is the second most common neoplasm of the head and neck region after SCC and the third most common group of malignant lesions of the oral region after SCC and salivary gland neoplasm.<xref ref-type="bibr" rid="B5">5</xref>,<xref ref-type="bibr" rid="B6">6</xref></p><p>NHL commonly involves oropharyngeal lymphoid tissue comprising Waldeyer's ring, but occasionally involves other oral tissues.<xref ref-type="bibr" rid="B6">6</xref> NHL occurs more frequently in the head and neck region in the pediatric age group,<xref ref-type="bibr" rid="B7">7</xref> however our patient was a 60-year-old male. Sinuses are the primary site of NHL in 90% of the cases, most commonly invaded by diffuse large B cell lymphoma.<xref ref-type="bibr" rid="B7">7</xref> In our case, the epicentre of the lesion seemed to be in the right maxillary sinus on the CT images.</p><p>The etiological factors for primary lymphoma of the oral region are unclear. A few cases of oral lymphomas were reported in association with acquired immune deficiency syndrome (AIDS), and it might even be the first presentation of AIDS in certain individuals.<xref ref-type="bibr" rid="B8">8</xref> In our case, the patient was human immunodeficiency virus (HIV) negative. Primary oral and para-oral lymphoma most commonly presents as a painless local mass that gradually increases in size with superficial ulceration.<xref ref-type="bibr" rid="B9">9</xref> Diagnosis of NHL in oral cavity may result from mucosal tissue/gingival swelling/masses. When oral soft tissue lesions first appear, they are relatively soft and often have an overlying ulceration, and are often characterized by absence of other symptoms. If bone is the primary site, tooth mobility and alveolar bone loss are often noted. Pain, swelling, numbness of the lip, and pathologically related fractures may be associated with the bone lesion.<xref ref-type="bibr" rid="B5">5</xref> In our case, the patient presented with a slightly painful ulcerated growth on the maxillary edentulous alveolar ridge resembling SCC.</p><p>Clinical signs and symptoms of lymphomas of the paranasal sinuses include a mass in the nasal cavity, facial pain, paresthesia, recurrent sinusitis, nasal discharge, eyelid swelling, and proptosis if orbital invasion has occurred.<xref ref-type="bibr" rid="B10">10</xref> Our patient showed an extraoral swelling in the right maxillary sinus region and also proptosis of the eye suggestive of extension of the lesion into the sinus and orbit.</p><p>Radiological imaging is vital for many reasons, including assessment of tumor extension, assessment of bony destruction, evidence of mucosal thickening, and choice of biopsy site and route. CT is the best imaging modality for demonstrating fine bony detail.<xref ref-type="bibr" rid="B10">10</xref> Lymphoma can cause nonspecific bony destruction at and around the paranasal sinuses. The maxillary sinuses are most frequently affected, followed by the ethmoidal and frontal sinuses. The sphenoid sinuses are rarely affected. As the process of destruction continues, the bony margins of the maxillary sinuses can become eroded, especially the medial and posterior walls. Erosion of the anterior wall of the maxillary sinus was also reported.<xref ref-type="bibr" rid="B11">11</xref> The epicentre was found to be in the right maxillary sinus on CT images in our case also. All walls of the maxillary sinus were eroded by the soft tissue lesion.</p><p>Lymphomas are usually submucosal, and on gross appearance, differ from SCC which is usually ulcerative.<xref ref-type="bibr" rid="B12">12</xref> Our case clinically manifested as an ulcerated growth closely resembling SCC, and it was very difficult to differentiate both of the lesions clinically. Biopsy should be performed to ensure the accurate diagnosis and histological grading of lymphoma. Management also varies depending on the stage of lymphoma. Paranasal lymphomas have a poor prognosis, which is usually worse than that associated with lymphomas in other sites in the body.<xref ref-type="bibr" rid="B10">10</xref></p><p>In conclusion, this report focused on the importance of CT in assessing the exact tumor extent and staging for large, clinically doubtful lesions, which was essential for diagnosis and treatment planning.</p></sec></body><back><ref-list><ref id="B1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jayakrishnan</surname><given-names>R</given-names></name><name><surname>Thomas</surname><given-names>G</given-names></name><name><surname>Kumar</surname><given-names>A</given-names></name><name><surname>Nair</surname><given-names>R</given-names></name></person-group><article-title>Non-Hodgkin's lymphoma of the hard palate</article-title><source>J Oral Maxillofac Pathol</source><year>2008</year><volume>12</volume><fpage>85</fpage><lpage>87</lpage></element-citation></ref><ref id="B2"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dalirsani</surname><given-names>Z</given-names></name><name><surname>Mohtasham</surname><given-names>N</given-names></name></person-group><article-title>T-cell lymphoma of palate with nose and maxillary sinus involvement: a case report</article-title><source>Iran J Med Sci</source><year>2010</year><volume>35</volume><fpage>254</fpage><lpage>258</lpage></element-citation></ref><ref id="B3"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ueda</surname><given-names>F</given-names></name><name><surname>Suzuki</surname><given-names>M</given-names></name><name><surname>Matsui</surname><given-names>O</given-names></name><name><surname>Minato</surname><given-names>H</given-names></name><name><surname>Furukawa</surname><given-names>M</given-names></name></person-group><article-title>MR findings of nine cases of palatal tumor</article-title><source>Magn Reson Med Sci</source><year>2005</year><volume>4</volume><fpage>61</fpage><lpage>67</lpage><pub-id pub-id-type="pmid">16340159</pub-id></element-citation></ref><ref id="B4"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Teh</surname><given-names>CS</given-names></name><name><surname>Chong</surname><given-names>SY</given-names></name></person-group><article-title>An unusual presentation of lymphoma of the head and neck region</article-title><source>Med J Malaysia</source><year>2011</year><volume>66</volume><fpage>264</fpage><lpage>265</lpage><pub-id pub-id-type="pmid">22111456</pub-id></element-citation></ref><ref id="B5"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Villa</surname><given-names>A</given-names></name><name><surname>Mariani</surname><given-names>U</given-names></name><name><surname>Villa</surname><given-names>F</given-names></name></person-group><article-title>T-cell lymphoma of the oral cavity: a case report</article-title><source>Aust Dent J</source><year>2010</year><volume>55</volume><fpage>203</fpage><lpage>206</lpage><pub-id pub-id-type="pmid">20604765</pub-id></element-citation></ref><ref id="B6"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vaswani</surname><given-names>B</given-names></name><name><surname>Shah</surname><given-names>M</given-names></name><name><surname>Shah</surname><given-names>PM</given-names></name><name><surname>Parikh</surname><given-names>BJ</given-names></name><name><surname>Anand</surname><given-names>AS</given-names></name><name><surname>Sharma</surname><given-names>G</given-names></name></person-group><article-title>Non hodgkin's lymphoma of tongue - a case report</article-title><source>Indian J Med Paediatr Oncol</source><year>2008</year><volume>29</volume><fpage>59</fpage><lpage>61</lpage></element-citation></ref><ref id="B7"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zagolski</surname><given-names>O</given-names></name><name><surname>Dwivedi</surname><given-names>RC</given-names></name><name><surname>Subramanian</surname><given-names>S</given-names></name><name><surname>Kazi</surname><given-names>R</given-names></name></person-group><article-title>Non-Hodgkin's lymphoma of the sino-nasal tract in children</article-title><source>J Cancer Res Ther</source><year>2010</year><volume>6</volume><fpage>5</fpage><lpage>10</lpage><pub-id pub-id-type="pmid">20479539</pub-id></element-citation></ref><ref id="B8"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Maheshwari</surname><given-names>GK</given-names></name><name><surname>Baboo</surname><given-names>HA</given-names></name><name><surname>Shah</surname><given-names>NM</given-names></name><name><surname>Patel</surname><given-names>MH</given-names></name><name><surname>Shah</surname><given-names>R</given-names></name></person-group><article-title>Primary non-Hodgkin's lymphoma of the oral tongue</article-title><source>Turk J Cancer</source><year>2001</year><volume>31</volume><fpage>121</fpage><lpage>124</lpage></element-citation></ref><ref id="B9"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Essadi</surname><given-names>I</given-names></name><name><surname>Ismaili</surname><given-names>N</given-names></name><name><surname>Tazi</surname><given-names>E</given-names></name><name><surname>Elmajjaoui</surname><given-names>S</given-names></name><name><surname>Saidi</surname><given-names>A</given-names></name><name><surname>Ichou</surname><given-names>M</given-names></name><etal></etal></person-group><article-title>Primary lymphoma of the head and neck: two case reports and review of the literature</article-title><source>Cases J</source><year>2008</year><volume>1</volume><fpage>426</fpage><pub-id pub-id-type="pmid">19116013</pub-id></element-citation></ref><ref id="B10"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Park</surname><given-names>YM</given-names></name><name><surname>Cho</surname><given-names>JH</given-names></name><name><surname>Cho</surname><given-names>JY</given-names></name><name><surname>Huh</surname><given-names>JS</given-names></name><name><surname>Ahn</surname><given-names>JY</given-names></name></person-group><article-title>Non-Hodgkin's lymphoma of the sphenoid sinus presenting as isolated oculomotor nerve palsy</article-title><source>World J Surg Oncol</source><year>2007</year><volume>5</volume><fpage>86</fpage><pub-id pub-id-type="pmid">17683562</pub-id></element-citation></ref><ref id="B11"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Al-Hakeem</surname><given-names>DA</given-names></name><name><surname>Fedele</surname><given-names>S</given-names></name><name><surname>Carlos</surname><given-names>R</given-names></name><name><surname>Porter</surname><given-names>S</given-names></name></person-group><article-title>Extra nodal NK/T-cell lymphoma, nasal type</article-title><source>Oral Oncol</source><year>2007</year><volume>43</volume><fpage>4</fpage><lpage>14</lpage><pub-id pub-id-type="pmid">17064952</pub-id></element-citation></ref><ref id="B12"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chalastras</surname><given-names>T</given-names></name><name><surname>Elefteriadou</surname><given-names>A</given-names></name><name><surname>Giotakis</surname><given-names>J</given-names></name><name><surname>Soulandikas</surname><given-names>K</given-names></name><name><surname>Korres</surname><given-names>S</given-names></name><name><surname>Ferekidis</surname><given-names>E</given-names></name><etal></etal></person-group><article-title>Non-Hodgkin's lymphoma of nasal cavity and paranasal sinuses. A clinicopathological and immunhistochemical study</article-title><source>Acta Otorhinolaryngol Ital</source><year>2007</year><volume>27</volume><fpage>6</fpage><lpage>9</lpage><pub-id pub-id-type="pmid">17601204</pub-id></element-citation></ref></ref-list></back><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></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Pmc/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001C81 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd -nk 001C81 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= Pmc
|étape= Corpus
|type= RBID
|clé=
|texte=
}}
| This area was generated with Dilib version V0.6.32. |  |