title: Primary extra-nodal non-Hodgkin's lymphoma of gingiva: A diagnostic dilemma.
abstract: Primary non-Hodgkin's lymphoma (NHL) is a rare entity. When it does occur, mandibular NHL typically manifests similar to an odontogenic pathology. This results in delayed diagnosis and treatment. We present a 50-year-old female who was erroneously treated for a pyogenic granuloma several months before the correct diagnosis of extranodal primary NHL of the oral cavity was made. Fortunately, the solitary bony lymphoma had not disseminated and management by chemo-radiation allowed for disease eradication and new post-treatment bone formation. The purpose of this report is to describe a rare case of primary NHL of the mandible, explore the diagnosis and work-up and discuss treatment strategies. This case illustrates the need for co-operative diagnostic referrals between physicians and dentists.
authors.affiliation: Department of Oral and Maxillofacial Surgery and Implantology, Rajasthan Dental College and Hospital, Jaipur, Rajasthan, India.
authors.forename: Sameer
authors.initials: S
authors.lastname: Parihar
authors.forename: Rajeev K
authors.initials: RK
authors.lastname: Garg
authors.forename: Pooja
authors.initials: P
authors.lastname: Narain
keywords: Cyclophosphamide hydroxydaunorubicin oncovin prednisolone-rituximab therapy; extranodal; mandibular swelling; non-Hodgkin's lymphoma