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Research Article Open access CC BY 4.0

Mandibular Non-Hodgkin’s Lymphoma Mimicking as Dentoalveolar Abscess - A Rare Case Report

Tribikram Debata, Bijaya Kumar Das, Surya Narayan Das, Punyasloka Pati, Tapan Kumar Sahoo

Journal of Cancer and Tumor International · pp. 1–5 · Published 19 Jul 2016

10.9734/JCTI/2016/27809

Abstract

Mandible remains a site of swelling for number of diseases including infection, cyst, and tumors. A few rare lesions without any pathognomic and radiological features may cause diagnostic predicament. Diffuse large B-cell lymphoma, a rare form of extranodal non-Hodgkin’s lymphoma accounts for 0.1–0.2% of cases in oral cavity, and occasionally appears in the mandible. We report a case of diffuse large B-cell lymphoma in a 77-year-old male patient. The patient presented with firm, mild painful swelling on the left lower face with history of non-healing extraction socket and enlarged left submandibular lymph nodes leading to a provisional diagnosis of chronic dental infection or dentoalveolar abscess. Incisional biopsy from the lesion and immunohistochemistry study confirmed the diagnosis of diffuse large B-cell lymphoma of left mandible.  

Diffuse large B-cell lymphoma immunohistochemistry and mandible

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