舌縁部に発生した悪性リンパ腫の1例 A case of malignant lymphoma arising in the margin of the tongue

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著者

    • 山田 朋弘 YAMADA Tomohiro
    • 高知大学医学部歯科口腔外科学講座 Department of Oral and Maxillofacial Surgery, Kochi Medical School, Kochi University
    • 片瀬 直樹 [他] KATASE Naoki
    • 岡山大学大学院医歯薬学総合研究科口腔病理病態学分野 Department of Oral pathology and Medicine, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
    • 長塚 仁 NAGATSUKA Hitoshi
    • 岡山大学大学院医歯薬学総合研究科口腔病理病態学分野 Department of Oral pathology and Medicine, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University

抄録

Malignant lymphomas in the head and neck region rarely occur in the oral cavity, but frequently develop in the cervical lymph nodes or Waldeyers'ring initially. We report a case of a malignant lymphoma of the margin of the tongue.<br>The patient was an 82-year-old woman with a painless tumor arising in the right margin of the tongue. Clinical examination showed that the lesion was covered with normal mucosa. The tumor was elastic hard with a clearmargin and was movable. We diagnosed the lesion as a benign tumor of the right margin of the tongue and extirpated the tumor under local anesthesia. The specimen was histopathologically diagnosed as a non-Hodgkins'lymphoma, diffuse large B cell type. Consequently, we transferred the patient to the department of internal medicine,where she received chemotherapy with R-THP-COP, leading to remission. The remission was maintained, and there was no evidence of abnormalities. However, the patient died of acute cardiac insufficiency 1 year 9 months after the completion of chemotherapy.

Malignant lymphomas in the head and neck region rarely occur in the oral cavity, but frequently develop in the cervical lymph nodes or Waldeyers'ring initially. We report a case of a malignant lymphoma of the margin of the tongue.<br>The patient was an 82-year-old woman with a painless tumor arising in the right margin of the tongue. Clinical examination showed that the lesion was covered with normal mucosa. The tumor was elastic hard with a clearmargin and was movable. We diagnosed the lesion as a benign tumor of the right margin of the tongue and extirpated the tumor under local anesthesia. The specimen was histopathologically diagnosed as a non-Hodgkins'lymphoma, diffuse large B cell type. Consequently, we transferred the patient to the department of internal medicine,where she received chemotherapy with R-THP-COP, leading to remission. The remission was maintained, and there was no evidence of abnormalities. However, the patient died of acute cardiac insufficiency 1 year 9 months after the completion of chemotherapy.

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 57(5), 269-273, 2011-05-20

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10030271937
  • 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
    11131831
  • 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  NDL  J-STAGE 
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