title: Extranodal large B cell lymphoma of the anterior maxilla. Case report and review of literature.
abstract: In the oral cavity, lymphoproliferative disorders can manifest in various ways, often as an extranodal externalization. In the case presented here, it was a B cell lymphoma originating in the periapical bone of the anterior maxilla. X-ray revealed a periapical radiolucency associated with an intact tooth with no decay, fillings or history of trauma. The tooth tested non-vital. After root canal treatment, an apicoectomy was performed with a biopsy. The most common diagnosis would be of dental etiology. The pathology report revealed a non-Hodgkin's B cell lymphoma. Most often, this disease appears as localized dental or oral pathology. Non-specific signs and symptoms present in association with lymphoproliferative disorders include lymphadenopathy, trismus, pain, swelling, sinusitis, fever, sepsis, prosthetic instability and paresthesia. Early detection results in decreased morbidity and a better prognosis for the patient.
authors.forename: Brian
authors.initials: B
authors.lastname: Webber
authors.forename: Mariel
authors.initials: M
authors.lastname: Webber
authors.forename: David
authors.initials: D
authors.lastname: Keinan
mesh_terms: D003937:Diagnosis, Differential; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000175:diagnosis*; D008297:Male; D008441:Maxillary Neoplasms / Q000175:diagnosis*; D008875:Middle Aged; D009808:Odontogenic Tumors / Q000175:diagnosis; D010484:Periapical Granuloma / Q000175:diagnosis; D011842:Radicular Cyst / Q000175:diagnosis