Multiple tongue nodules in a patient with chronic graft-versus-host disease

• MITSUGI Sho

  Department of Science of Physical Functions, Division of Oral and Maxillofacial Surgery, Kyushu Dental University

• MIYAMOTO Ikuya

  Department of Science of Physical Functions, Division of Oral Medicine, Kyushu Dental University

• YOSHIGA Daigo

  Department of Science of Physical Functions, Division of Oral and Maxillofacial Surgery, Kyushu Dental University

• MATSUO Kou

  Department of Bioscience, Division of Oral Pathology, Kyushu Dental University

• TAKAHASHI Tetsu

  Department of Oral-Maxillofacial Surgery, Tohoku University Graduate School of Dentistry

• TOMINAGA Kazuhiro

  Department of Science of Physical Functions, Division of Oral and Maxillofacial Surgery, Kyushu Dental University

Bibliographic Information

Other Title

• 末梢血幹細胞移植後GVHD患者に生じた多発性舌腫瘤の1例
• マッショウケツ カンサイボウ イショク ゴ GVHD カンジャ ニ ショウジタ タハツセイ ゼツ シュリュウ ノ 1レイ

Abstract

We treated a patient with chronic graft-versus-host disease (GVHD) in whom multiple tongue nodules developed following an allogeneic peripheral blood stem-cell transplantation (allo-PBSCT) procedure. A 30-year-old man was given a diagnosis of Hodgkin’s lymphoma and underwent autologous peripheral blood stem-cell transplantation at another hospital in 2007. Relapse occurred in 2011, at which time he underwent allo-PBSCT from his brother, a matched HLA donor. Extensive stomatitis, a characteristic disorder related to chronic GVHD, developed 30 days after transplantation. The resultant ulcers on the dorsal surface of his tongue gradually resolved. However, multiple nodules appeared on the entire tongue, causing difficulty in food intake. All polypoid nodules were surgically excised with the patient under general anesthesia in our hospital, and the pathological diagnosis was fibrous polyp with mild epithelial dysplasia. At a follow-up examination 3 years later, there was no recurrence, though persistent mild oral chronic GVHD was noted. It is important to perform follow-up examinations of patients with oral GVHD soon after transplantation. If lesions suspected to be malignant are found, they should be excised as thoroughly as possible.

Journal

• Japanese Journal of Oral and Maxillofacial Surgery

  Japanese Journal of Oral and Maxillofacial Surgery 62 (10), 529-533, 2016

  Japanese Society of Oral and Maxillofacial Surgeons

Keywords

• graft-versus-host disease (GVHD)
• peripheral blood stem-cell transplantation
• multiple tongue nodules

Details

• CRID: 1390001206531493248
• NII Article ID: 130005251289
• NII Book ID: AN00189163
• DOI: 10.5794/jjoms.62.529
• ISSN: 21861579
• ISSN: 00215163
• NDL BIB ID: 027721059
• Web Site: http://id.ndl.go.jp/bib/027721059
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I027721059
• Web Site: https://www.jstage.jst.go.jp/article/jjoms/62/10/62_529/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2017050800
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed