Multiple myeloma presenting with a maxillary lesion as the first sign

Ramaiah, Kiran Kumar Kotagudda; Joshi, Vajendra; Thayi, Shilpa Ravishankar; Sathyanarayana, Pathalapate; Patil, Prashant; Ahmed, Zaheer

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저자정보: Ramaiah, Kiran Kumar Kotagudda (Department of Oral Medicine and Radiology, Navodaya Dental College and Hospital) Joshi, Vajendra (Department of Oral Medicine and Radiology, Navodaya Dental College and Hospital) Thayi, Shilpa Ravishankar (Department of Oral Medicine and Radiology, Navodaya Dental College and Hospital) Sathyanarayana, Pathalapate (Department of Oral Medicine and Radiology, Navodaya Dental College and Hospital) Patil, Prashant (Department of Oral Medicine and Radiology, Navodaya Dental College and Hospital) Ahmed, Zaheer (Department of Public Health Dentistry, Navodaya Dental College and Hospital)

저널정보: 대한영상치의학회 Imaging science in dentistry Imaging science in dentistry 제45권 제1호

발행연도: 2015.1

수록면: 55 - 60 (6page)

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Multiple myeloma is a clonal neoplastic proliferation of terminally differentiated B-lymphocytes involving the skeletal system in a multifocal fashion. Its oral manifestations are less common in the maxilla than in the mandible due to the lower amount of hemopoietic bone marrow in the maxilla. We report the case of a 50-year-old man who presented with a mass in the left maxillary alveolar region with tooth mobility. The mass had become enlarged after the teeth were extracted 15 days previously. Radiographs demonstrated multiple punched-out radiolucent lesions in the skull and pelvic region. Computed tomography images showed a soft tissue density mass in the left maxilla, eroding the floor and walls of the maxillary sinus. Although several analytical techniques were used to characterize the lesion, it was finally confirmed as multiple myeloma through immunohistochemistry.

#Multiple Myeloma #Maxilla #Plasma Cells #Plasmacytoma

참고문헌 (23)

참고문헌 신청

Sharma V / 2010 / Punched-out lesions in skull. Multiple myeloma / N Z Med J 123:81~82

Lee SH / 1996 / Gingival mass as the primary manifestation of multiple myeloma : report of two cases / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 82:75~79

Bruce KW / 1953 / Multiple myeloma occurring in the jaws: a study of 17 cases / Oral Surg Oral Med Oral Pathol 6:729~744

Witt C / 1997 / Radiographic manifestations of multiple myeloma in the mandible: a retrospective study of 77 patients / J Oral Maxillofac Surg 55:450~455

Raubenheimer EJ / 1988 / Multiple myeloma presenting as localized expansile jaw tumour / Int J Oral Maxillofac Surg 17:382~385

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