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| 題 名 | Diffuse Large B-cell Lymphoma Affecting Premaxilla and Maxillary Sinus Mimicking as Infectious Odontogenic Tumor--A Case Report=形似上顎前區齒源性腫瘤合併感染並侵犯上顎竇的瀰漫性大B細胞淋巴瘤--病例報告 |
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| 作 者 | 蔡百泰; 聶鑫; 吳契璁; 施嘉霖; 陳元武; 李曉屏; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
| 卷 期 | 26:2 2015.06[民104.06] |
| 頁 次 | 頁136-146 |
| 分類號 | 416.954 |
| 關鍵詞 | 頭頸部惡性腫瘤; 爛漫性大B細胞淋巴瘤; Head and neck malignancy; Diffuse large B-cell lymphoma; |
| 語 文 | 英文(English) |
| 中文摘要 | 淋巴瘤是一種淋巴組織的惡性增生疾病,在頭頸部惡性腫瘤中,特別是口咽區域,淋巴瘤是第二常見的惡性腫瘤。根據病理組織學特徵,淋巴瘤可以區分為霍奇金淋巴瘤及非霍奇金淋巴瘤。在非霍奇金淋巴瘤中,瀰漫性大B細胞淋巴瘤所佔的比例最高。在口腔穎顏面區域,淋巴瘤常以齒源性囊腫、腫瘤或感染的臨床症狀作為表徵。病理切片對於診斷及腫瘤分期是必要的,特別是此類疾病的預後端賴於是否早期診斷。目前對於治療淋巴瘤仍以化學治療為主,有時會合併放射治療以利於局部的疾病控制,手術治療扮演的角色有限。本文探討一位在上顯前區以齒源性腫瘤合併感染並侵犯上顯竇為臨床表徵的淋巴瘤病例,以提供相關經驗作為治療上的參考。 |
| 英文摘要 | Lymphoma is a disease of malignant proliferation of lymphoid tissue. In head and neck malignancy, especially oropharyngeal region, lymphoma represents as the second most occurrence cancer. According to the histopathological characteristics, lymphomas can be divided into Hodgkin's lymphomas (HLs) and non-Hodgkin's lymphomas (NHLs). Among the NHLs, diffuse large B-cell lymphoma (DLBL) is the most prevalent disease. In oral and maxillofacial region, lymphoma often manifests as odontogenic cyst, tumor or infection, which make the differential diagnosis more difficult. Biopsy is essential for early diagnosis and subsequent cancer staging, since the prognosis depends upon which stage of the disease is identified. The mainstay of treatment is chemotherapy, sometimes combined with radiotherapy for local control. Surgery serves as a less important modality. Here, we present our experience in a case of lymphoma affecting premaxilla and maxillary sinus that mimicked as infectious odontogenic tumor. |
本系統中英文摘要資訊取自各篇刊載內容。