Fatal primary diffuse large B‐cell lymphoma of the maxillary sinus initially treated as an infectious disease in an elderly patient: A clinicopathologic report

Castro, Mayara Santos de; Ribeiro, Cínthia Magalhães; Carli, Marina Lara de; Pereira, Alessandro Antônio Costa; Sperandio, Felipe Fornias; Almeida, Oslei Paes de; Hanemann, João Adolfo Costa

doi:10.1111/ger.12308

Cited by 9 publications

(16 citation statements)

References 5 publications

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“…O LNH comumente se desenvolve em linfonodo, mas o envolvimento extranodal pode ocorrer [2][3][4][5]8,9 , sendo relatada manifestação no estômago, glândulas salivares, pele, ossos e raramente na cavidade oral [2][3][4]6,8,9 . A ocorrência intraóssea mandibular corresponde a apenas 0,6% dos casos 4 .…”

Section: Discussionunclassified

“…Geralmente sem etiologia definida, o LNH pode estar relacionado com fatores hereditários, ambientais, ocupacionais, dietéticos e imunológicos 1,11 . Alguns agentes infecciosos têm sido relacionados, incluindo Vírus da Imunodeficiência Humana (HIV) 1,4 , Epstein-Barr 1,5,7 , herpes tipo 8, hepatite, e bactéria Helicobacter pylori 1 . Neste caso não foram detectados focos de infecções virais ou bacterianas.…”

Section: Discussionunclassified

“…Os primeiros sinais clínicos orais incluem tumefações ou lesões ulceradas justaósseas, podendo apresentar-se intraósseos com extravasamento para tecido mole 2,5,9,10,12 . As características clínicas são inespecíficas, podem ocorrer inchaço, dor, parestesia, mobilidade dentária inexplicável ou linfadenopatia cervical.…”

Section: Discussionunclassified

Section: Introductionunclassified

“…Os linfomas são transformações neoplásicas de células linfoides 1 ou de seus precursores linforreticulares [2][3][4][5][6][7] . São divididos em Linfoma de Hodgkin (LH) e Linfoma Não-Hodgkin (LNH) 1,[5][6][7] . O LNH comumente ocorre em linfonodos, porém pode ocorrer extranodal, sendo relatado no estômago, glândulas salivares, pele, ossos e raramente na cavidade oral 2,[6][7][8][9] .…”

Section: Introductionunclassified

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Linfoma não-Hodgkin, manifestação no sistema estomatognático – Relato de caso clínico

Gomes¹,

Piazza

Castelo

2019

Saúde (Sta. Maria)

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Linfomas são transformações neoplásicas de células linfoides, o Linfoma Não-Hodgkin raramente ocorre na cavidade oral, os casos intraorais podem manifestar-se como inchaço, dor, dormência, mobilidade dentária ou linfadenopatia cervical, os achados radiográficos podem assemelhar-se a osteomielites, neoplasias secundárias ou lesões odontogênicas. Pode ocorrer aumento de volume em tecido mole e não cicatrização após extrações dentárias - sinais suspeitos de malignidade. Os linfomas são lesões malignas agressivas, com alto potencial de cura através de quimioterapia associada ou não à radioterapia, se diagnosticados precocemente. A cirurgia geralmente não é indicada. O prognóstico é bom para doenças localizadas, sendo menos favorável para doença disseminada. Cabe ao cirurgião-dentista diagnosticar manifestações estomatognáticas, contribuindo para o tratamento médico efetivo. O objetivo deste estudo é o relato de caso clínico de paciente com lesão osteolítica na mandíbula, com diagnóstico de Linfoma não-Hodgkin difuso de grandes células B a partir da investigação clínica multidisciplinar.

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Section: Discussionunclassified

Section: Introductionunclassified

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Linfoma não-Hodgkin, manifestação no sistema estomatognático – Relato de caso clínico

Gomes¹,

Piazza

Castelo

2019

Saúde (Sta. Maria)

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‘Misdiagnosis of diffuse large B-cell lymphoma in the maxillary sinus as a dental abscess’

Jabr,

Haddad,

Almohareb

et al. 2024

Annals of Medicine &Amp; Surgery

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Introduction: Diffuse large B-cell Lymphoma (DLBCL) is a heterogeneous group of malignant tumors with diverse prognoses, histological appearances, and clinical symptoms. While it commonly affects lymphoid tissues, its occurrence in the nasal cavity and paranasal sinuses is rare and poses significant diagnostic challenges. Case Presentation: The authors present a case of a 53-year-old man with a history of testicular non-Hodgkin lymphoma treated 5 months prior. He presented with symptoms initially misdiagnosed as a dental abscess, which was later identified as DLBCL in the maxillary sinus. Discussion: The etiology of primary lymphoma in the oral region remains unclear. Due to its rarity, specific prognostic factors, and optimal treatment strategies are not well-established. This case highlights the diagnostic challenges and underscores the importance of considering lymphoma in the differential diagnosis of nonresponsive dental abscesses. Conclusion: This case underscores the importance of thorough investigation in patients with nonresponsive dental abscesses. Early identification and appropriate management of DLBCL in uncommon sites require heightened clinical awareness and interdisciplinary collaboration. The optimal treatment approach remains debated and warrants further research.

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Radiological aspects of lymphomas and leukaemias affecting the jaws: A systematic review

Gomes

Lima

Morais-Perdigão

et al. 2023

J Oral Pathology Medicine

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Background: This systematic review aimed to investigate the radiological features of lymphomas and leukaemias affecting the jaws.Methods: A systematic literature review was conducted using the electronic databases of PubMed, Web of Science and Scopus. Articles that contained sufficient radiographic examinations (periapical, panoramic or computed tomography images) for individual cases were included. Additionally, either immunohistochemical or molecular confirmation was required prior to inclusion. Three authors evaluated and described the image quality and radiological features.Results: From an initial 1079 articles screened, 129 cases were included, containing 88 tomographic, 76 panoramic and 26 periapical examinations. The quality of the majority of images was sufficient for evaluation. Diffuse large B-cell lymphoma, Burkitt lymphoma, leukemic infiltration, plasmablastic lymphoma and extranodal Natural killer (NK)/T-cell lymphoma, nasal type were the most common subtypes. Involved teeth presented with mobility in 37.2% of the cases and a provisional diagnosis of inflammatory/infectious dental disease was considered in 49.2% of cases. Computed tomography exams were available for 76% of the cases, with most presented with an osteolytic lesion with ill-defined borders. Periosteal reactions were uncommon. Conclusion:Lymphoma/leukaemia infiltrates of the jaw bones are usually of highgrade subtypes and rarely present with periosteal reactions.

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Fatal primary diffuse large B‐cell lymphoma of the maxillary sinus initially treated as an infectious disease in an elderly patient: A clinicopathologic report

Abstract: Objective: To report a case of primary diffuse large B-cell lymphoma (DLBCL) of the maxillary sinus in an 82-year-old Caucasian woman.Background: Diffuse large B-cell lymphoma of the maxillary sinus has non-specific

Cited by 9 publications

References 5 publications

Linfoma não-Hodgkin, manifestação no sistema estomatognático – Relato de caso clínico

Linfoma não-Hodgkin, manifestação no sistema estomatognático – Relato de caso clínico

‘Misdiagnosis of diffuse large B-cell lymphoma in the maxillary sinus as a dental abscess’

Radiological aspects of lymphomas and leukaemias affecting the jaws: A systematic review

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