Head and neck extramedullary disease as the initial presentation of acute myelogenous leukemia in a child.
The purpose of this paper was to describe a child with a noncontributory medical history who sought an emergency dental appointment due to a significant facial and neck swelling. The clinical and radiographic exams revealed no odontogenic infection, and the patient was subsequently diagnosed with acute myelogenous leukemia by the hematology/oncology service. This report underscores the important role pediatric dentists can play in an early referral for further workup of a suspected malignancy, which may initially present as extramedullary disease in the head and neck.
da Fonseca
Marcio A
MA
Section of Pediatric Dentisty, The Ohio State University, Nationwide Children's Hospital, Columbus, Ohio, USA. Marcio.DaFonseca@NationwideChildrens.org
D002648:Child; D003937:Diagnosis, Differential; D004487:Edema / Q000209:etiology*; D005145:Face; D005157:Facial Pain / Q000209:etiology; D005260:Female; D006258:Head and Neck Neoplasms / Q000150:complications*; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000150:complications / Q000175:diagnosis*; D009333:Neck; D019547:Neck Pain / Q000209:etiology; D023981:Sarcoma, Myeloid / Q000150:complications*