Infiltrate of chronic lymphocytic leukemia appearing as a periapical radiolucent lesion.
This report presents a case of a mandibular premolar with a vital pulp and a periapical radiolucent lesion in a patient with a history of chronic lymphocytic leukemia. Biopsy of the lesion revealed an infiltrate of chronic lymphocytic leukemia in the mandible, which is quite rare. This lesion may have portended a worsening of the patient's condition and downgrading of her prognosis.
Department of Endodontology, Oregon Health Sciences University, Portland 97201, USA.
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D000368:Aged; D001641:Bicuspid; D003791:Dental Pulp Test; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D017254:Leukemic Infiltration; D008334:Mandible / Q000473:pathology*; D010483:Periapical Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D010486:Periapical Tissue / Q000473:pathology*; D011379:Prognosis