Korean J Oral Maxillofac Radiol.
2005 Jun;35(2):111-114.
Case report of acute lymphoblastic leukemia with multiple soft tissue mass
- Affiliations
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- 1Department of Oral and Maxillofacial Radiology, Dental Research Institute, and BK21, College of Dentistry, Seoul National University, Korea. hmslsh@snu.ac.kr
Abstract
- A 15-year-old patient, who had been diagnosed and treated as Burkitt cell type acute lymphoblastic leukemia (ALLL3) already, visited our department. He complained of gingival enlargement and loosening teeth 1 month ago. The clinical examination revealed anterior open bite, gingival enlargement, and nontender swelling particularly in molar regions of both jaws. Deep periodontal pockets and severe mobility was shown on most of the teeth. The panoramic radiographs showed severe bone destruction and extrusion of the molars. The contrast enhanced CT showed multiple enhanced mass and bone marrow obliteration in both jaws. Chemotherapy was done and the swelling was subsided at 1 month later. In conclusion, radiologic findings of leukemia with soft tissue mass, known as chloroma or granulocytic sarcoma, mimic those of lymphoma, so blood test may be needed for the final diagnosis.
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