当科における悪性リンパ腫症例の初発臨床像に関する検討

概要

論文の詳細を見る
Fourteen cases of malignant lymphoma (ML), diagnosed in our depratment over 26 years from 1965 to 1991, were examined clinically, focusing mainly on the intial symptoms. The results were as follows: 1) ML Accounted for 4. 5% of all oral malignant tumors. 2) The patients consisted of 10 males and 4 females. The majority of them were advanced in age. 3) There were 5 nodal cases (35. 7%) and 9 extranodal cases (64.3%). 4) In all 5 nodal cases, the initial lesion involved the neck and/or submandibular lymphnodes. In the externodal cases, 3 cases appeared in the gingiva, 2 in the maxillary sinus, 2 in mandibular bone, 1 in the cheek, and 1 in mandibular bone and the front of the ear. 5) Swelling was the initial local symptom in all cases. 6) The initial clinical diagnoses in the 14 cases were malignant lymphoma in 1 case, malignant tumor in 8 cases, benign tumor in 3 cases, inflammation in 1 case, and inflammation and tumor in 1 case. 7) In X-ray examinations, the nodal cases showed no abnormal images. In the extranodal cases, 2 cases with maxillary sinus lesions showed radiopaque areas, and 2 cases with gingiva lesions and 3 with mandibular lesions presented bone destructive changes. 8) ML was suspected in 1 of 5 cases by CT examiation and in 4 of 6 cases by ultrasound examination. 9) Laboratory examinations indicated cases with high LDH values tended to have a poorer prognosis.
社団法人日本口腔外科学会の論文