診断に苦慮した下顎歯槽部悪性リンパ腫の1例 A difficult-to-diagnose case of malignant lymphoma in the alveolar bone of the mandible

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著者

    • 山本 崇 YAMAMOTO Takashi
    • 札幌医科大学医学部口腔外科学講座 Department of Oral Surgery, Sapporo Medical University School of Medicine
    • 針谷 靖史 HARIYA Yasushi
    • 医療法人渓仁会手稲渓仁会病院歯科口腔外科 Department of Dentistry and Oral Surgery, Teine Keijinkai Hospital
    • 仲盛 健治 NAKAMORI Kenji
    • 札幌医科大学医学部口腔外科学講座 Department of Oral Surgery, Sapporo Medical University School of Medicine
    • 永井 格 NAGAI Itaru
    • 札幌医科大学医学部口腔外科学講座 Department of Oral Surgery, Sapporo Medical University School of Medicine

抄録

Malignant lymphoma occurs fairly frequently in the oral cavity, but is relatively rare in the mandible. We report a case of malignant lymphoma arising from the middle of the alveolar bone of the mandible. The patient was a 38-year-old man who had a swelling on the middle of the lower alveolus. Histopathological examination of a resected specimen was performed several times, but failed to prove malignant lymphoma. Southern-blot analysis disclosed the clonality of B-cells. We assessed the patient's overall clinical progress and decided to reexamine the surgical specimen. This led to a diagnosis of diffuse large B-cell lymphoma, Stage I E according to the Ann Arbor classification. The patient received combination treatment consisting of chemotherapy with CHOP (R-CHOP) and radiotherapy. There have been no signs of recurrence during the 27 months since treatment.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 53(1), 8-12, 2007-01-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018858508
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    8659061
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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