Maxillary Swelling as the First Evidence of Multiple Myeloma

Multiple myeloma is a malignant neoplasm of plasma cells characterized by proliferation of a single clone of abnormal immunoglobulin-secreting plasma cells. Since the amount of hemopoietic bone marrow is decreased in the maxilla, oral manifestations of multiple myeloma are less common in the maxilla...

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Main Authors: Atsushi Kasamatsu, Yasushi Kimura, Hideki Tsujimura, Harusachi Kanazawa, Nao Koide, Isao Miyamoto, Yosuke Endo-Sakamoto, Masashi Shiiba, Hideki Tanzawa, Katsuhiro Uzawa
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2015/439536
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author Atsushi Kasamatsu
Yasushi Kimura
Hideki Tsujimura
Harusachi Kanazawa
Nao Koide
Isao Miyamoto
Yosuke Endo-Sakamoto
Masashi Shiiba
Hideki Tanzawa
Katsuhiro Uzawa
author_facet Atsushi Kasamatsu
Yasushi Kimura
Hideki Tsujimura
Harusachi Kanazawa
Nao Koide
Isao Miyamoto
Yosuke Endo-Sakamoto
Masashi Shiiba
Hideki Tanzawa
Katsuhiro Uzawa
author_sort Atsushi Kasamatsu
collection DOAJ
description Multiple myeloma is a malignant neoplasm of plasma cells characterized by proliferation of a single clone of abnormal immunoglobulin-secreting plasma cells. Since the amount of hemopoietic bone marrow is decreased in the maxilla, oral manifestations of multiple myeloma are less common in the maxilla than in the mandible. We report the case of 33-year-old Japanese man who presented with a mass in the right maxillary alveolar region. Computed tomography and magnetic resonance images showed a soft tissue mass in the right maxilla eroding the anterior and lateral walls of the maxillary sinus and extending into the buccal space. The biopsy results, imaging, and laboratory investigations led to the diagnosis of multiple myeloma. This case report suggests that oral surgeons and dentists should properly address oral manifestations as first indications of multiple myeloma.
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publishDate 2015-01-01
publisher Wiley
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series Case Reports in Dentistry
spelling doaj-art-fff91beab29f494eb53ebcae8f6e9edb2025-08-20T03:25:56ZengWileyCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/439536439536Maxillary Swelling as the First Evidence of Multiple MyelomaAtsushi Kasamatsu0Yasushi Kimura1Hideki Tsujimura2Harusachi Kanazawa3Nao Koide4Isao Miyamoto5Yosuke Endo-Sakamoto6Masashi Shiiba7Hideki Tanzawa8Katsuhiro Uzawa9Department of Dentistry and Oral-Maxillofacial Surgery, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Oral Science, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDivision of Clinical Oncology, Chiba Cancer Center, 666-2 Nitona, Chuo-ku, Chiba 260-8717, JapanDivision of Dentistry and Oral and Maxillofacial Surgery, Sammu Medical Center, 167 Naruto, Sammu, Chiba 289-1326, JapanDepartment of Oral Science, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Oral Science, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Dentistry and Oral-Maxillofacial Surgery, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Clinical Oncology, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Dentistry and Oral-Maxillofacial Surgery, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Dentistry and Oral-Maxillofacial Surgery, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanMultiple myeloma is a malignant neoplasm of plasma cells characterized by proliferation of a single clone of abnormal immunoglobulin-secreting plasma cells. Since the amount of hemopoietic bone marrow is decreased in the maxilla, oral manifestations of multiple myeloma are less common in the maxilla than in the mandible. We report the case of 33-year-old Japanese man who presented with a mass in the right maxillary alveolar region. Computed tomography and magnetic resonance images showed a soft tissue mass in the right maxilla eroding the anterior and lateral walls of the maxillary sinus and extending into the buccal space. The biopsy results, imaging, and laboratory investigations led to the diagnosis of multiple myeloma. This case report suggests that oral surgeons and dentists should properly address oral manifestations as first indications of multiple myeloma.http://dx.doi.org/10.1155/2015/439536
spellingShingle Atsushi Kasamatsu
Yasushi Kimura
Hideki Tsujimura
Harusachi Kanazawa
Nao Koide
Isao Miyamoto
Yosuke Endo-Sakamoto
Masashi Shiiba
Hideki Tanzawa
Katsuhiro Uzawa
Maxillary Swelling as the First Evidence of Multiple Myeloma
Case Reports in Dentistry
title Maxillary Swelling as the First Evidence of Multiple Myeloma
title_full Maxillary Swelling as the First Evidence of Multiple Myeloma
title_fullStr Maxillary Swelling as the First Evidence of Multiple Myeloma
title_full_unstemmed Maxillary Swelling as the First Evidence of Multiple Myeloma
title_short Maxillary Swelling as the First Evidence of Multiple Myeloma
title_sort maxillary swelling as the first evidence of multiple myeloma
url http://dx.doi.org/10.1155/2015/439536
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