Maxillary Sinus Natural Killer/T-Cell Extranodal Lymphoma Mimicking a Dentoalveolar Abscess
Extranodal natural killer/T-cell lymphoma (ENKL) is an aggressive and infrequent malignant neoplasm. Early sinonasal ENKL clinical symptomatology is often not specific which can mimic several clinical odontogenic processes such as dentoalveolar abscesses. A 41-year-old female was referred to our ins...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2019/6701783 |
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| author | Erika Antonia dos Anjos Ramos Luciana Munhoz Basílio Almeida Milani Tomás Zecchini Barrese Stephanie Kenig Viveiros Emiko Saito Arita |
| author_facet | Erika Antonia dos Anjos Ramos Luciana Munhoz Basílio Almeida Milani Tomás Zecchini Barrese Stephanie Kenig Viveiros Emiko Saito Arita |
| author_sort | Erika Antonia dos Anjos Ramos |
| collection | DOAJ |
| description | Extranodal natural killer/T-cell lymphoma (ENKL) is an aggressive and infrequent malignant neoplasm. Early sinonasal ENKL clinical symptomatology is often not specific which can mimic several clinical odontogenic processes such as dentoalveolar abscesses. A 41-year-old female was referred to our institution due to facial pain with skin rash, fever, and intraoral swelling in the left side of the maxillary region. Computed tomography (CT) revealed a soft tissue hypodense area in the left side with bone discontinuity in anterior and lateral maxillary sinuses. Initial laboratorial tests showed no alterations on hemogram, coagulation profile, and immune phenotype (CD3+/CD4+). However, the lesion progressed fastly showing an evident growth, so it was decided that an intraoral biopsy should be performed. The diagnosis was sinonasal ENKLs. This case is an example that the rare T-cell lymphoma can mimic an odontogenic lesion, thus puzzling the clinician. Fortunately, the rapid growth of the lesion prompted the correct diagnosis and early treatment. |
| format | Article |
| id | doaj-art-9483fbfb0e6c4f6d9e66c0f27c01a5af |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-9483fbfb0e6c4f6d9e66c0f27c01a5af2025-02-03T05:47:59ZengWileyCase Reports in Dentistry2090-64472090-64552019-01-01201910.1155/2019/67017836701783Maxillary Sinus Natural Killer/T-Cell Extranodal Lymphoma Mimicking a Dentoalveolar AbscessErika Antonia dos Anjos Ramos0Luciana Munhoz1Basílio Almeida Milani2Tomás Zecchini Barrese3Stephanie Kenig Viveiros4Emiko Saito Arita5Department of Stomatology, School of Dentistry, University of São Paulo, 2227 Lineu Prestes Avenue, 05508-000 São Paulo, SP, BrazilDepartment of Stomatology, School of Dentistry, University of São Paulo, 2227 Lineu Prestes Avenue, 05508-000 São Paulo, SP, BrazilDepartment of Maxillofacial Surgery, Hospital Municipal do Campo Limpo, 1661 Estrada da Itapecerica, 05835-005 São Paulo, BrazilDepartment of Pathological Sciences, School of Medicine, Santa Casa de Sao Paulo School of Medical Sciences, 61 Dr. Cesário Motta Junior Street, 01221-020 São Paulo, SP, BrazilDepartment of Stomatology, School of Dentistry, University of São Paulo, 2227 Lineu Prestes Avenue, 05508-000 São Paulo, SP, BrazilDepartment of Stomatology, School of Dentistry, University of São Paulo, 2227 Lineu Prestes Avenue, 05508-000 São Paulo, SP, BrazilExtranodal natural killer/T-cell lymphoma (ENKL) is an aggressive and infrequent malignant neoplasm. Early sinonasal ENKL clinical symptomatology is often not specific which can mimic several clinical odontogenic processes such as dentoalveolar abscesses. A 41-year-old female was referred to our institution due to facial pain with skin rash, fever, and intraoral swelling in the left side of the maxillary region. Computed tomography (CT) revealed a soft tissue hypodense area in the left side with bone discontinuity in anterior and lateral maxillary sinuses. Initial laboratorial tests showed no alterations on hemogram, coagulation profile, and immune phenotype (CD3+/CD4+). However, the lesion progressed fastly showing an evident growth, so it was decided that an intraoral biopsy should be performed. The diagnosis was sinonasal ENKLs. This case is an example that the rare T-cell lymphoma can mimic an odontogenic lesion, thus puzzling the clinician. Fortunately, the rapid growth of the lesion prompted the correct diagnosis and early treatment.http://dx.doi.org/10.1155/2019/6701783 |
| spellingShingle | Erika Antonia dos Anjos Ramos Luciana Munhoz Basílio Almeida Milani Tomás Zecchini Barrese Stephanie Kenig Viveiros Emiko Saito Arita Maxillary Sinus Natural Killer/T-Cell Extranodal Lymphoma Mimicking a Dentoalveolar Abscess Case Reports in Dentistry |
| title | Maxillary Sinus Natural Killer/T-Cell Extranodal Lymphoma Mimicking a Dentoalveolar Abscess |
| title_full | Maxillary Sinus Natural Killer/T-Cell Extranodal Lymphoma Mimicking a Dentoalveolar Abscess |
| title_fullStr | Maxillary Sinus Natural Killer/T-Cell Extranodal Lymphoma Mimicking a Dentoalveolar Abscess |
| title_full_unstemmed | Maxillary Sinus Natural Killer/T-Cell Extranodal Lymphoma Mimicking a Dentoalveolar Abscess |
| title_short | Maxillary Sinus Natural Killer/T-Cell Extranodal Lymphoma Mimicking a Dentoalveolar Abscess |
| title_sort | maxillary sinus natural killer t cell extranodal lymphoma mimicking a dentoalveolar abscess |
| url | http://dx.doi.org/10.1155/2019/6701783 |
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